Remilekun Subedat Adesoji, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

16591 Issued in MS

Practice address

8412 Airways Blvd
Southaven, MS 38671-5140

Phone

(662) 536-2100

Fax

(662) 536-2211

NPI assigned

Jul 23, 2006

Last updated

Oct 30, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: radesoji31949@mlh.direct-ci.com

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.

• Progressive Physicians Practice

  • Internal Medicine Physician
  • Southaven, MS
  • NPI 1982783619

  Pediatrics

  Medicare reassignment NPD Authorized official
• Baptist Memorial Hospital-Desoto, Inc,

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1194789818
  NPD (past)
• Methodist Healthcare - Olive Branch Hospital

  • General Acute Care Hospital
  • Olive Branch, MS
  • NPI 1912341439
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288396800000",
    "number": "1043232986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386710011",
            "telephone_number": "662-536-2100",
            "fax_number": "662-536-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8412 AIRWAYS BLVD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715140",
            "telephone_number": "662-536-2100",
            "fax_number": "662-536-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADESOJI",
        "first_name": "REMILEKUN",
        "middle_name": "SUBEDAT",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2010-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "16591",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD0000035865",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01724394",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Addiction Campuses of Mississippi, LLC (Woodland Recovery Center)
• Addiction Campuses Professional Services of Mississippi, LLC
• Olamide O Adeleye, NP
• Olufemi Adeleye, M.D.
• Gafar Ajani Adesoji, M.D
• Adult Neurology Clinic PLLC
• Advanced Pharmacy Solutions
• Adventure Pediatrics, PLLC
• Aero Community Healthcare, LLC (Aero Community Healthcare)
• Affordable Eyes Inc.

• Pediatrics Physician in Southaven, MS
• Providers in Southaven, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.