Individual provider

Olatunji Oluwatade, MD

Infectious Disease Physician Internal Medicine Physician Emergency Medicine Physician Medicare enrolled

Olatunji Oluwatade, MD is an Infectious Disease Physician in Vicksburg, MS, registered under NPI 1477677458. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2080 S, FRONTAGE RD. SUITE100, Vicksburg, MS 39180. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2080 S, FRONTAGE RD. SUITE100, Vicksburg, MS 39180 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
19904 MS Infectious Disease Physician primary
4301089363 MI Internal Medicine Physician
19904 MS Emergency Medicine Physician
19904 MS Hospitalist Physician

Licences are recorded in 2 states: MS, MI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Emergency Medicine
PAC ID
8628158326

Medicare enrolment is recorded as approved under the provider type Practitioner - Emergency Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Michigan and Mississippi. The practice address on file is in Vicksburg, MS, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MI Michigan
Licence
4301089363
Specialty
Internal Medicine Physician
Verify with the MI board →
MS Mississippi practice address
Licence
19904
Specialty
Infectious Disease Physician
Verify with the MS board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Infectious Disease covers

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. NUCC Health Care Provider Taxonomy, code 207RI0200X
Allopathic & Osteopathic Physicians Internal Medicine Infectious Disease

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RI0200X Infectious Disease Physician Infectious Disease 19904 MS primary
207R00000X Internal Medicine Physician 4301089363 MI
207P00000X Emergency Medicine Physician 19904 MS
208M00000X Hospitalist Physician 19904 MS

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1477677458 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 16, 2007
Last updatedMar 13, 2024
StatusActive
Sole proprietorNo
CredentialMD
Practice address 2080 S, FRONTAGE RD.
SUITE100
Vicksburg, MS 39180
(601) 262-1000
Mailing address 2080 S FRONTAGE RD SUITE 100
Vicksburg, MS 39180
Other identifiers 1811254 (LA)
08108016 (MS)
This record was updated on Mar 13, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1477677458 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 7 7 6 7 7 4 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 5 7 3 7 5 4 1

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1477677458?
NPI 1477677458 is the National Provider Identifier assigned to Olatunji Oluwatade, MD in Vicksburg, MS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Infectious Disease cover?
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also…
How do I contact Olatunji Oluwatade, MD?
The phone number on file with NPPES is (601) 262-1000, last updated Mar 13, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Olatunji Oluwatade, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1477677458 a valid number?
Yes. 1477677458 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.