Individual provider Active NPI

Olasunkanmi Adeyinka, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1013948181
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J3950 Issued in TX
Practice address
6410 Fannin St
250
Houston, TX 77030-3000
Phone
(832) 325-6500
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J3950 TX Primary

Addresses

Primary practice location

6410 Fannin St
250
Houston, TX 77030-3000

Mailing address

PO Box 301448
Dallas, TX 75303-1448
Phone (713) 500-3500

Other identifiers 3

IdentifierTypeStateIssuer
137313602MedicaidTX
88Y300OtherTXBCBS
137313601OtherTXCSHCN

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
I20100329000256 TX Practitioner - HospitalistPractitioner - Family Practice 4486780590 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apt Urgent Care, LLCGroup PAC ID 2466882246, 2 clinicians
Ut Physicians Specialty ServicesGroup PAC ID 2567544570, 83 clinicians

Practice addresses (Care Compare)

Manvel, TX 77578
Phone (281) 692-9770

6410 Fannin St
Houston, TX 77030-3000

6410 Fannin St
Suite 510
Houston, TX 77030-3005
Phone (713) 500-5736

6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-4000

Hospital & facility affiliations

  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apt Urgent Care, LLC CurrentSince Jul 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jun 15, 2015 Accepting new patients
Memorial Hermann Medical Group Family Medicine CurrentSince Oct 5, 2019 Accepting new patients
Ut Physicians Specialty Services Family Medicine CurrentSince Nov 1, 2012 Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736

5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

10447 Bailey Rd
Ste 170
Manvel, TX 77578
Phone (281) 692-9770

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19897/brand/1/csg/1/fhir/r4
  • Direct secure messaging: olasunkanmi.adeyinka.1@19897.direct.athenahealth.com
  • Direct secure messaging: oadeyinka10058@direct.uth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1013948181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301448",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031448",
            "telephone_number": "713-500-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST",
            "address_2": "250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303000",
            "telephone_number": "832-325-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYINKA",
        "first_name": "OLASUNKANMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J3950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137313602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88Y300",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "137313601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.