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

Oluwarotimi Vaughan-Ogunlusi, MB, BCH, BAO

Individual provider Emergency Medicine Physician · NPI 1588353551

Oluwarotimi Vaughan-Ogunlusi, MB, BCH, BAO is an Emergency Medicine in Philadelphia, Pennsylvania. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2023

Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 955-9837
Fax: (215) 955-9870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD494198 (PA)

Record details

NPI number1588353551
Entity typeIndividual (Type 1)
GenderMale
Credentials MB , BCH , BAO
Sole proprietorYes
NPI enumeratedMay 4, 2023
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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