OSCAR ANYABOLU
NPI 1063295137
Physician Assistant - Surgical in Mount Pleasant, TX

NPI Status: Active since August 14, 2023

Contact Information

2001 N JEFFERSON AVE STE 100
MOUNT PLEASANT, TX
ZIP 75455
Phone: (903) 577-6787
Fax: (903) 434-8072

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 3
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About OSCAR ANYABOLU

This page provides the complete NPI Profile along with additional information for Oscar Anyabolu, a provider established in Mount Pleasant, Texas with a medical specialization in Physician Assistant, focusing in surgical and more than 3 years of experience. He graduated from At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa in 2023. The healthcare provider is registered in the NPI registry with number 1063295137 assigned on August 2023. The practitioner's primary taxonomy code is 363AS0400X with license number PA17493 (TX). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1063295137
Provider Name
OSCAR ANYABOLU
Gender
Male
Entity Type
Individual
Location Address
2001 N JEFFERSON AVE STE 100 MOUNT PLEASANT, TX 75455
Location Phone
(903) 577-6787
Location Fax
(903) 434-8072
Mailing Address
1075 E BETTERAVIA RD STE 201 SANTA MARIA, CA 93454
Mailing Phone
(805) 621-7651
Mailing Fax
(903) 434-8072
Medical School Name
AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduation Year
2023
Is Sole Proprietor?
No
Enumeration Date
08-14-2023
Last Update Date
10-22-2024
Code Navigator

Location Map

Secondary Locations

  • 1075 E Betteravia Rd Ste 201
    Santa Maria, CA 93454
    (805) 621-7651

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA17493
License State
TX

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Oscar Anyabolu is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Oscar Anyabolu is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6204272313

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240312001687, I20241101003549

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Oscar Anyabolu is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ADVENTHEALTH WATERMAN1000 WATERMAN WAY
TAVARES, FL 32778
(352) 253-3300Acute Care Hospitals
TITUS REGIONAL MEDICAL CENTER2001 N JEFFERSON
MOUNT PLEASANT, TX 75455
(903) 577-6000Acute Care Hospitals

Reviews for OSCAR ANYABOLU

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063295137
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123491016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 4 + 9 + 1 + 0 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1063295137 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265432355 MICHAEL A PAPPAS M.D.
Individual
Orthopaedic Surgery2001 N JEFFERSON AVE STE 100
MOUNT PLEASANT, TX 75455
(035) 776-7879
1669921789MR. JACOB GREEN FNP-C
Individual
Nurse Practitioner (Primary Care)2001 N JEFFERSON AVE STE 100
MOUNT PLEASANT, TX 75455
(903) 577-6787
1780656462MR. DAVID A HESTER M.D.
Individual
Orthopaedic Surgery2001 N JEFFERSON AVE STE 100
MOUNT PLEASANT, TX 75455
(903) 577-6787
1922422401TITUS COUNTY HOSPITAL DISTRICT
Organization
Clinic/Center (Medical Specialty)2001 N JEFFERSON AVE STE 100
MOUNT PLEASANT, TX 75455
(903) 434-8031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063295137, enumerated in the NPI registry as an "individual" on August 14, 2023

The provider is located at 2001 N Jefferson Ave Ste 100 Mount Pleasant, Tx 75455 and the phone number is (903) 577-6787

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider has more than 3 years of experience. He graduated from At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa in 2023.

The provider might be accepting Accepts: Ambetter Health and Ambetter of Alabama. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): ADVENTHEALTH WATERMAN and TITUS REGIONAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 14, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.