Individual provider Active NPI

Victoria M Adeleye, MD

  • Family Medicine Physician
  • Conroe, TX
National Provider Identifier
1124031281
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N7985 Issued in TX
Practice address
508 Medical Center Blvd
Ste 200
Conroe, TX 77304-2808
Phone
(936) 760-4600
Fax
(936) 760-4601
NPI assigned
Aug 13, 2006
Last updated
Nov 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036103208 IL
Family Medicine Physician 207Q00000X N7985 TX Primary

Addresses

Primary practice location

508 Medical Center Blvd
Ste 200
Conroe, TX 77304-2808

Mailing address

508 Medical Center Blvd
Ste 200
Conroe, TX 77304-2808
Phone (936) 760-4600

Other identifiers 2

IdentifierTypeStateIssuer
00J21AOtherTXGROUP MEDICARE NUMBER
094010801OtherTXGROUP MEDICAID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20110124000157 TX Practitioner - Family Practice 1850397688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Carenow Urgent Care PLLCGroup PAC ID 7012291958, 113 clinicians

Practice addresses (Care Compare)

5233 Fairmont Pkwy
Suite 1
Pasadena, TX 77505-3947
Phone (713) 568-0240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N7985TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Carenow Urgent Care PLLC Family Medicine CurrentSince Nov 3, 2017 Accepting new patients
Conroe Montgomery Physicians Group, PLLC Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Complete Family Healthcare LTD Family Medicine PastSince May 1, 2013 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

508 Medical Center Blvd
Ste 150
Conroe, TX 77304
Phone (836) 760-4600

508 Medical Center Blvd
Ste 200
Conroe, TX 77304
Phone (936) 494-2201

3150 Gulf Fwy S
Dickinson, TX 77539
Phone (832) 720-6345

300 Northpark Dr
Kingwood, TX 77339
Phone (281) 310-8445

10422 Research Forest Dr
Magnolia, TX 77354
Phone (281) 394-4936

5233 Fairmont Pkwy
Ste 1
Pasadena, TX 77505
Phone (713) 568-0240

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21705/brand/1/csg/1/fhir/r4
  • Direct secure messaging: victoria.adeleye@hca7.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1124031281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 MEDICAL CENTER BLVD",
            "address_2": "STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042808",
            "telephone_number": "936-760-4600",
            "fax_number": "936-760-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MEDICAL CENTER BLVD",
            "address_2": "STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042808",
            "telephone_number": "936-760-4600",
            "fax_number": "936-760-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELEYE",
        "first_name": "VICTORIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036103208",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "00J21A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID NUMBER",
            "identifier": "094010801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.