Orimisan Samuel Adekolujo, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

4301103980 Issued in MI

Practice address

4100 Beecher Rd Ste B
Flint, MI 48532-3661

Phone

(810) 235-8568

Fax

(810) 235-4902

NPI assigned

Sep 2, 2012

Last updated

Sep 14, 2022By the provider in NPPES

Sex

Male

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 MI

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

Specialty

Hematology/Oncology

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Flint Hospital, Flint, MI, CCN 230141

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• McLaren Flint

  • General Practice Physician
  • Flint, MI
  • NPI 1275807372
  Medicare reassignment Care Compare group
• McLaren Flint

  • Physician Assistant
  • Flint, MI
  • NPI 1700919628
  NPD
• McLaren Flint

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1154469229
  NPD (past)

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

• McLaren Flint

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1902894512
  Care Compare affiliation

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1114276474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BEECHER RD STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323661",
            "telephone_number": "810-235-8568",
            "fax_number": "810-235-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 BEECHER RD STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323661",
            "telephone_number": "810-235-8568",
            "fax_number": "810-235-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEKOLUJO",
        "first_name": "ORIMISAN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-02",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301103980",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301103980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "796720542",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lassidere Adams
• Michael Lee Adams, RN, BSN
• Paul T Adams, M.D.
• Randy Adams, OTRL
• Ade Home Care Services LLC
• Oyebimpe Adekolujo, MD
• Govinda Adhikari, MD
• Alefe Adimasu
• Shana Adkison, LLP, LPC
• Adorationlovinghomecare

• Hematology & Oncology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Hematology & Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.