Active NPI
Olurotimi Olusegun Adekolu, M.B.CH.B
- Pulmonary Disease Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 054400
- Practice address
- 20 York St, CB-2041
New Haven, CT 06510-3220 - Phone
- (203) 688-4748
- Fax
- (203) 688-4740
- NPI assigned
- Apr 25, 2012
- Last updated
- Sep 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 65537 | CT | |
| Internal Medicine Physician | 207R00000X | 54400 | CT | |
| Pulmonary Disease Physician | 207RP1001X | 054400 | CT | Primary |
| Hospitalist Physician | 208M00000X | 54400 | CT |
Addresses
Primary practice location
20 York St, CB-2041
New Haven, CT 06510-3220
Mailing address
20 York St, CB-2041
New Haven, CT 06510-3220
Phone (203) 688-4748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hartford Hospital
Practice addresses (Care Compare)
100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-6623
1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666
2150 Corbin Ave
New Britain, CT 06053-2266
Phone (860) 827-4994
80 Seymour St
Hartford, CT 06102-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054400 | CT | MD | Pulmonary Disease Physician |
| 65537 | CT | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital of Central Connecticut at New Britain General and Bradley | Internal Medicine | Current | Accepting new patients |
| Hartford Hospital | Internal Medicine | Current | Accepting new patients |
| Starling Physicians, PLLC | Internal Medicine | Current | Accepting new patients |
| Hospital for Special Care | Current | Accepting new patients | |
| Starling Physicians PLLC | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients | |
| Starling Physicians, PLLC | Past | Accepting new patients |
Locations
100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830
533 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 696-2820
85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
2150 Corbin Ave
New Britain, CT 06053
Phone (860) 223-2761
300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200
2110 Silas Deane Hwy
Rocky Hill, CT 06067
81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540
1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477
Interoperability endpoints
- https://fhir.hfsc.org/R4/open-Prod
- olurotimi.adekolu@xdr.hhchealthdirect.org
Organizations & group practices 8
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.
-
- Long Term Care Hospital
- New Britain, CT
- NPI 1477534089
-
- Internal Medicine Physician
- Rocky Hill, CT
- NPI 1467537290
-
dba The Hospital of Central Connecticut
- Hospitalist Physician
- New Britain, CT
- NPI 1063461481
Internal Medicine
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, CT
- NPI 1760355861
-
dba The Hospital of Central Connecticut
- Psychiatric Hospital Unit
- New Britain, CT
- NPI 1992867006
-
dba Starling Physicians PC
- Mammography Clinic/Center
- New Britain, CT
- NPI 1720182991
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
dba The Hospital of Central Connecticut
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1073871372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 YORK ST, CB-2041",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-4748",
"fax_number": "203-688-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST, CB-2041",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-4748",
"fax_number": "203-688-4740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEKOLU",
"first_name": "OLUROTIMI",
"middle_name": "OLUSEGUN",
"name_prefix": "Dr.",
"credential": "M.B.CH.B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-25",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": "65537",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "54400",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CT",
"license": "054400",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "54400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.