NPIMap

Individual provider Active NPI

Ademola K Abiose, MD

  • Cardiovascular Disease Physician
  • Elyria, OH
National Provider Identifier
1033190038
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35096539 Issued in OH
Practice address
125 E Broad St Ste 305
Elyria, OH 44035-6447
Phone
(440) 414-9100
NPI assigned
Nov 8, 2005
Last updated
Jan 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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 35096539 OH
Nuclear Cardiology Physician 207UN0901X 35096539 OH
Cardiovascular Disease Physician 207RC0000X 35096539 OH Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ademolaabiose@nohomg.allscriptsdirect.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110627000394 OH Practitioner - Cardiovascular Disease (Cardiology) 5496782963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35096539OHMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
University Primary Care Practices Inc CurrentSince Oct 1, 2021 Accepting new patients
The Good Samaritan Hospital of Maryland, Inc. Past Accepting new patients
Creighton University Cardiovascular Disease Past Accepting new patients
Integris Cardiovascular Physicians LLC Cardiovascular Disease Past Accepting new patients
University Primary Care Practices Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Medstar Good Samaritan Physicians LLC Past Accepting new patients
Creighton University 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

  • Direct secure messaging: aabiose37285@ehrdirect.uhhospitals.org
  • Direct secure messaging: ademolaabiose@nohomg.allscriptsdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 8

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1033190038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29325 HEALTH CAMPUS DR STE 3",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441458201",
            "telephone_number": "440-414-9400",
            "fax_number": "216-201-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E BROAD ST STE 305",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356447",
            "telephone_number": "440-414-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29325 Health Campus Dr.",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441455264",
            "country_code": "US",
            "telephone_number": "440-414-9400",
            "fax_number": "216-201-5591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABIOSE",
        "first_name": "ADEMOLA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35096539",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "OH",
            "license": "35096539",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35096539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ademolaabiose@nohomg.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "29325 Health Campus Dr.",
            "address_2": "Suite 3",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441455264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.