Individual provider Active NPI

Isaac Adepoju

  • Non-emergency Medical Transport (VAN)
  • Rochester, MN
National Provider Identifier
1013309525
Registry record updated Feb 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
A724438100 Issued in MN
Practice address
3274 Portage Cir NW
Rochester, MN 55901-5666
Phone
(507) 208-4957
NPI assigned
Feb 21, 2015
Last updated
Feb 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X A724438100 MN Primary

Addresses

Primary practice location

3274 Portage Cir NW
Rochester, MN 55901-5666

Mailing address

3274 Portage Cir NW
Rochester, MN 55901-5666
Phone (507) 208-4957

Other identifiers 1

IdentifierTypeStateIssuer
A724438100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A724438100MNMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424476800000",
    "number": "1013309525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3274 PORTAGE CIR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015666",
            "telephone_number": "507-208-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3274 PORTAGE CIR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015666",
            "telephone_number": "507-208-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEPOJU",
        "first_name": "ISAAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-21",
        "last_updated": "2015-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "A724438100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A724438100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.