DR. DAMOLA BOLUTIFE OLAWUYI MD
NPI 1669169991
Student in an Organized Health Care Education/Training Program in Pullman, WA

NPI Status: Active since April 18, 2023

Contact Information

835 SE BISHOP BLVD
PULLMAN, WA
ZIP 99163
Phone: (509) 332-2541

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  • Individual
  • Male
  • Years of Experience 8
  • Student in an Organized Health Care Educ...
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DAMOLA OLAWUYI

This page provides the complete NPI Profile along with additional information for Damola Olawuyi, a primary care provider established in Pullman, Washington with a medical specialization in Student In An Organized Health Care Education/training Program and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1669169991 assigned on April 2023. The practitioner's primary taxonomy code is 390200000X with license number ML61436016 (WA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1669169991
Provider Name
DR. DAMOLA BOLUTIFE OLAWUYI MD
Gender
Male
Entity Type
Individual
Location Address
835 SE BISHOP BLVD PULLMAN, WA 99163
Location Phone
(509) 332-2541
Mailing Address
825 SE BISHOP BLVD STE 401 PULLMAN, WA 99163
Mailing Phone
(509) 336-7720
Medical School Name
OTHER
Graduation Year
2018
Is Sole Proprietor?
Yes
Enumeration Date
04-18-2023
Last Update Date
09-19-2023
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A primary care provider (PCP) like Damola Olawuyi sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

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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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
License No.
ML61436016
License State
WA
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Damola Olawuyi 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.

Damola Olawuyi 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: 8820450851

    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: I20240125002318

    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

Reviews for DR. DAMOLA BOLUTIFE OLAWUYI MD

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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.
1669169991
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261292618918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 2 + 6 + 1 + 8 + 9 + 1 + 8 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1669169991 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245299916DR. GERARDO R RODRIQUEZ M.D.
Individual
Emergency Medicine835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 336-7388
1386604486DR. STEPHEN C BERGMANN M.D.
Individual
Emergency Medicine835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 336-7388
1275593378DR. LARRY E BROWN M.D.
Individual
Emergency Medicine835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 336-7388
1689784969 EDWARD R WINTERBOTTOM CRNA
Individual
Nurse Anesthetist, Certified Registered835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 332-2541
1982757613 ROBERT A LLOYD D.O.
Individual
Radiology (Diagnostic Radiology)835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 747-4455
1033376447 MARILYN ANNE BURCH R.D., C.D.
Individual
Dietitian, Registered835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 336-7543
1043474026PUBLIC HOSPITAL DISTRICT #1-A
Organization
Radiologic Technologist835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 332-2541
1962667170PUBLIC HOSPITAL DISTRICT # 1-A
Organization
Clinical Medical Laboratory835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 332-2541
1700036084DR. CLIFFORD LOUIS LIGHTFOOT III DO
Individual
Emergency Medicine835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 336-7386
1821354481 DARIN LAYNE PORTER R.P.A. / R.R.A.
Individual
Radiology Practitioner Assistant835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 336-7438
1194062513 SUZZANNA F NOFSINGER RN
Individual
Registered Nurse835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 336-7380
1578800702 STACEY L AGGABAO RN
Individual
Registered Nurse835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 336-7300
1366789406 EILEEN K TAYLOR RN
Individual
Registered Nurse835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 336-7300
1003154386 RACHEL C SILVA-BISCHOFF RN
Individual
Registered Nurse835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 336-7300
1003156399MRS. MAILE KELLER
Individual
Physical Therapy Assistant835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 332-5106
1316280902DR. ANDREW L TURNER PH.D.
Individual
Psychologist835 SE BISHOP BLVD PULLMAN REGIONAL HOSPITAL
PULLMAN, WA 99163
(509) 339-2394
1942622501 CAROL A OWINGS RN
Individual
Registered Nurse (Lactation Consultant)835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 332-2541
1003218835 CATHERINE WILKINS RN
Individual
Registered Nurse835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 332-2541
1104293844 LYNN SAKAMOTO CRNFA
Individual
Registered Nurse (Registered Nurse First Assistant)835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 336-7600
1467813402 ERIN SCHOLZ D.P.T.
Individual
Physical Therapist835 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 288-0718

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669169991, enumerated in the NPI registry as an "individual" on April 18, 2023

The provider is located at 835 Se Bishop Blvd Pullman, Wa 99163 and the phone number is (509) 332-2541

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 8 years of experience.

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.

This NPI record was last updated on April 18, 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.