Individual provider Active NPI

Hameed Adedeji Dosunmu, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1003924101
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3285 Issued in TX
Practice address
7434 Louis Pasteur Dr
Suite 309
San Antonio, TX 78229-4538
Phone
(210) 593-0390
Fax
(210) 593-0388
NPI assigned
Aug 28, 2006
Last updated
Aug 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L3285 TX Primary
Internal Medicine Physician 207R00000X 222240 NY
Internal Medicine Physician 207R00000X 15025R LA

Addresses

Primary practice location

7434 Louis Pasteur Dr
Suite 309
San Antonio, TX 78229-4538

Mailing address

7434 Louis Pasteur Dr
Suite 309
San Antonio, TX 78229-4538
Phone (210) 593-0390

Other identifiers 2

IdentifierTypeStateIssuer
1549859-05MedicaidTX
8BX470OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118001164 TX Practitioner - Internal Medicine 0648234559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7434 Louis Pasteur Dr
Suite 309
San Antonio, TX 78229-4541
Phone (210) 593-0390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15025RLAMDInternal Medicine Physician
222240NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Suntomed Medical Group Internal Medicine CurrentSince Sep 29, 2008 Accepting new patients
Accomplished Diagnostic Medical Inpatient Team, P.a. Internal Medicine Past Accepting new patients
Clear Creek Inpatient Physicians Internal Medicine Past Accepting new patients
Strato Inpatient Services Internal Medicine Past Accepting new patients
Sid Peterson Memorial Hospital Past Accepting new patients

Locations

7434 Louis Pasteur Dr
Ste 309
San Antonio, TX 78229
Phone (210) 593-0390

Interoperability endpoints

  • Direct secure messaging: royalsuntomedmedicalgrp.hameeddosunmu@137954.advancedmd-direct.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1003924101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7434 LOUIS PASTEUR DR",
            "address_2": "SUITE 309",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294538",
            "telephone_number": "210-593-0390",
            "fax_number": "210-593-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7434 LOUIS PASTEUR DR",
            "address_2": "SUITE 309",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294538",
            "telephone_number": "210-593-0390",
            "fax_number": "210-593-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSUNMU",
        "first_name": "HAMEED",
        "middle_name": "ADEDEJI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3285",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "222240",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "15025R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1549859-05",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8BX470",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.