Olufemi Adeleye, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

18315 Issued in MS

Practice address

1890 Goodman Rd E
Suite 101
Southaven, MS 38671-9504

Phone

(662) 536-1892

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

Yes

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 TN, MS2 enrollments

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 2

Specialty

Nephrology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kidney Disease Consultants, P.C.Group PAC ID 6103814082, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Airways Dialysis Dialysis facility, Memphis, TN, CCN 442740
• DaVita State Line Dialysis Dialysis facility, Memphis, TN, CCN 442710
• RCG Tunica Dialysis facility, Tunica, MS, CCN 252567
• Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
• Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167
• Baptist Hospital Desoto Inpatient rehabilitation facility, Southaven, MS, CCN 25T141

Merit-based Incentive Payment System (MIPS)

Final score

62.73 of 100Reported as individual

Quality

72.16

Improvement activities

0

Cost

84.03

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: oadeleye31540@mlh.direct-ci.com
• Direct secure messaging: olufemi.adeleye@direct.davitaphysiciansolutions.com

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.

• Kidney Disease Consultants, P.C.

  • Specialist
  • Southaven, MS
  • NPI 1134260870

  TN

  Medicare reassignment Care Compare group NPD Authorized official
• Tortugas Dialysis LLC

  dba State Line Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1336467703
  NPD (past)

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

• Deschutes Dialysis LLC

  dba Airways Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1477091767

  Dialysis facility

  Care Compare affiliation Name & address match
• Tortugas Dialysis LLC

  dba State Line Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1336467703

  Dialysis facility

  Care Compare affiliation Name & address match
• Baptist Memorial Hospital-Desoto, Inc,

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1194789818
  Care Compare affiliation
• Baptist Memorial Hospital-Desoto, Inc.

  • Rehabilitation Hospital Unit
  • Southaven, MS
  • NPI 1972560654

  Inpatient rehabilitation facility

  Care Compare affiliation
• Methodist Healthcare - Olive Branch Hospital

  • General Acute Care Hospital
  • Olive Branch, MS
  • NPI 1912341439
  Care Compare affiliation

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1073567251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386710005",
            "telephone_number": "901-681-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 GOODMAN RD E",
            "address_2": "SUITE 101",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719504",
            "telephone_number": "662-536-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELEYE",
        "first_name": "OLUFEMI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MS",
            "license": "18315",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "18315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06180721",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Southaven, MS
• Providers in Southaven, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.