Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Yetunde O Balogun, MD

Individual provider Vascular Surgery Physician · NPI 1306129713

Dr. Yetunde O Balogun, MD is a Vascular Surgery in Philadelphia, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania and Texas.

Years since qualifying
15
Licensed in
PA, TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (267) 294-9265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 705 E Marshall Ave Ste 5001, Longview, TX 75601-5524 — (903) 315-2777

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MT200039 (PA)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence V8935 (TX)

Record details

NPI number1306129713
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 21, 2011
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address3401 N Broad St, Philadelphia, PA 19140-5103

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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