NPIMap

Individual provider Active NPI

Oluwaseun Adaramola

  • Internal Medicine Physician
  • Marlborough, MA
National Provider Identifier
1104247535
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
262582 Issued in MA
Practice address
157 Union St
Marlborough, MA 01752-1228
Phone
(508) 486-5678
Fax
(508) 486-5677
NPI assigned
Jan 3, 2014
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 262582 MA Primary

Addresses

Primary practice location

157 Union St
Marlborough, MA 01752-1228

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address oadaramola22063@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150929001844 MA Practitioner - Internal Medicine 2062637168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

155 Union St
Marlborough, MA 01752-1228
Phone (508) 481-7390

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marlborough Hospitalist Group, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince May 15, 2016 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince May 15, 2016 Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients

Locations

155 Union St
Marlborough, MA 01752
Phone (508) 481-0200

157 Union St
Marlborough, MA 01752
Phone (508) 481-5000

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: oadaramola22063@umassmemorial.direct-ci.com

Organizations & group practices 4

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 6

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": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1104247535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 UNION ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521228",
            "telephone_number": "508-486-5678",
            "fax_number": "508-486-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADARAMOLA",
        "first_name": "OLUWASEUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-03",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "262582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oadaramola22063@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "157 Union St",
            "city": "Marlborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017521228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "157 Union St",
            "city": "Marlborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017521228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.