Individual provider Active NPI

Afolabi Idowu, M.D.

  • Family Medicine Physician
  • Madison, AL
National Provider Identifier
1124049127
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L.2512 Issued in AL
Practice address
44 Hughes Rd Ste 2100
Madison, AL 35758-3023
Phone
(256) 325-2772
Fax
(256) 325-2780
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L.2512 AL Primary

Addresses

Primary practice location

44 Hughes Rd Ste 2100
Madison, AL 35758-3023

Mailing address

44 Hughes Rd
Ste 2100
Madison, AL 35758-3023
Phone (256) 325-2772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20060821000075 AL Practitioner - Family Practice 1456354075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Family Medicine LLCGroup PAC ID 3274606827, 2 clinicians

Practice addresses (Care Compare)

44 Hughes Rd
Suite 2100
Madison, AL 35758-3023
Phone (256) 325-2772

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Athens Limestone Hospital Hospital, Athens, AL, CCN 010079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L.2512ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Family Medicine LLC CurrentSince Jun 2, 2008 Accepting new patients

Locations

44 Hughes Rd
Ste 2100
Madison, AL 35758
Phone (256) 325-2772

120 W Dublin Dr
Ste 105
Madison, AL 35758
Phone (256) 325-2772

Interoperability endpoints

  • Direct secure messaging: afolabi.idowu@1790.securemail.prognocis.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1124049127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD",
            "address_2": "STE 2100",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583023",
            "telephone_number": "256-325-2772",
            "fax_number": "256-325-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD STE 2100",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583023",
            "telephone_number": "256-325-2772",
            "fax_number": "256-325-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDOWU",
        "first_name": "AFOLABI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L.2512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.