Active NPI
Adeyemi Oluremi Oyegbade, MD
- Family Medicine Physician
- Gary, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01086286A
- Practice address
- 2269 W 25TH Ave
Gary, IN 46404-3367 - Phone
- (199) 444-1872
- Fax
- (219) 944-4186
- NPI assigned
- Jun 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT216389 | PA | |
| Family Medicine Physician | 207Q00000X | 01086286A | IN | Primary |
Addresses
Primary practice location
2269 W 25TH Ave
Gary, IN 46404-3367
Mailing address
2269 W 25TH Ave
Gary, IN 46404-3367
Phone (219) 944-4187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2269 W 25TH Ave
Methodist Physicians Group
Gary, IN 46404-3367
Phone (219) 944-4187
Hospital & facility affiliations
- Residential Clinical Services Inc
- Hope Home Health Care Inc
- Methodist Hospitals Inc
- Harbor Health & Rehab
- Aperion Care Tolleston Park
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.64 of 100
- Quality
- 56.64
- Promoting interoperability
- 73
- Improvement activities
- 40
- Cost
- 76.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT216389 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients |
Locations
27350 Network Pl
Chicago, IL 60673
2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926
Interoperability endpoints
- aoyegbade127493@themethodisthospitals.direct-ci.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Harbor Health & Rehab | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2023 Jan 1, 2023 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- East Chicago, IN
- NPI 1255457826
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
-
- Neurology Physician
- Gary, IN
- NPI 1720290588
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Merrillville, IN
- NPI 1477873081
-
- Home Health Agency
- Merrillville, IN
- NPI 1376549410
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1083107239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2269 W 25TH AVE",
"city": "GARY",
"state": "IN",
"postal_code": "464043367",
"telephone_number": "219-944-4187",
"fax_number": "219-944-4186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2269 W 25TH AVE",
"city": "GARY",
"state": "IN",
"postal_code": "464043367",
"telephone_number": "199-444-1872",
"fax_number": "219-944-4186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OYEGBADE",
"first_name": "ADEYEMI",
"middle_name": "OLUREMI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-12",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT216389",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01086286A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.