Ademola K Abiose, MD
Individual provider Active NPI Cardiovascular Disease Physician · Elyria, OH
NPI 1033190038 · NPPES record last updated Jan 11, 2021
Key facts
- NPI
- 1033190038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 35096539 (OH)
- Practice address
- 125 E Broad St Ste 305
Elyria, OH 44035-6447 - Phone
- (440) 414-9100
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Primary Care Practices Inc
Practice addresses (Care Compare)
125 E Broad St
Suite 218
Elyria, OH 44035-6447
Phone (440) 329-7310
158 W Main Rd
Conneaut, OH 44030-2039
29325 Health Campus Dr
Westlake, OH 44145-8201
630 E River St
Elyria, OH 44035-5902
Phone (440) 329-7500
Hospital & facility affiliations
- University Hospitals - Elyria Medical Center
- Uh Cleveland Medical Center
- Uh St John Medical Center
- Mercy Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.15 of 100
- Quality
- 82.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110627000394 | OH | Practitioner - Cardiovascular Disease (Cardiology) | 5496782963 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35096539 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Internal Medicine | Current |
Accepting new patients |
| University Primary Care Practices Inc | Current |
Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Medstar Good Samaritan Physicians LLC | Past | Accepting new patients | |
| Creighton University | Cardiovascular Disease | Past | Accepting new patients |
| University Primary Care Practices | Past | Accepting new patients | |
| The Good Samaritan Hospital of Maryland, Inc. | Past | Accepting new patients | |
| Integris Cardiovascular Physicians LLC | Cardiovascular Disease | Past | Accepting new patients |
| Creighton University | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Ahs Oklahoma Heart LLC | Past | Accepting new patients |
Locations
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
29325 Health Campus Dr
Ste 2
Westlake, OH 44145
Phone (440) 835-6142
29325 Health Campus Dr
Ste 3
Westlake, OH 44145
Phone (440) 414-9400
Interoperability endpoints
- aabiose37285@ehrdirect.uhhospitals.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35096539 | OH | |
| Nuclear Cardiology Physician | 207UN0901X | 35096539 | OH | |
| Cardiovascular Disease Physician | 207RC0000X | 35096539 | OH | Yes |
Addresses
Primary practice location
125 E Broad St Ste 305
Elyria, OH 44035-6447
Mailing address
29325 Health Campus Dr Ste 3
Westlake, OH 44145-8201
Phone (440) 414-9400
Other practice location 1
29325 Health Campus Dr.
Suite 3
Westlake, OH 44145-5264
Phone (440) 414-9400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3154321 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ademolaabiose@nohomg.allscriptsdirect.net | Direct |
Other providers in Elyria, OH
- Abbe Chiropractic Office Inc
- Steven Todd Abbe
- Nadia Abdallah
- Selamawit Abeibie
- Kathryn Abele
- Above & Beyond Home Care Agency LLC
- Absolute Health Chiropractic LLC
- Bashar Abu Jaradeh
- Sana Abumeri
- Anna Marie Abuzeidieh
All providers in Elyria, OH · Cardiovascular Disease Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.