Rolla Urgent Care LLC
NPI 1881819464ActiveOrganization· Internal Medicine· Rolla, MO
Internal Medicine in Rolla, Missouri, registered in NPPES in April 2007, part of Rolla Urgent Care LLC. The authorized official on file is Oluyomi O. Olusanya, MD, Owner/Del. Official.
Overview
| NPI | 1881819464 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Rolla Urgent Care LLC |
| NPI issued | Apr 17, 2007 |
| Last updated in NPPES | Sep 14, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 2002009086 | — |
| Clinic/Center, Rural Health | 261QR1300X | — | — |
| Nurse Practitioner | 363L00000X | 124268 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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