Adebola O Adesanya, MD

Primary specialty

Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X

License

K1331 Issued in TX

Practice address

3101 N Tarrant Pkwy
Fort Worth, TX 76177-8601

Phone

(817) 639-1000

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX, SD, NC, GA, CT, NY6 enrollments

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 6

Specialty

Critical Care (Intensivists)

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Critical Care Physician of New York PCGroup PAC ID 4688825839, 43 clinicians

Hospitalist Medicine Physicians of Connecticut - TCSGroup PAC ID 8729449541, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wyckoff Heights Medical Center Hospital, Brooklyn, NY, CCN 330221

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adebola.adesanya@hca6.eclinicaldirectplus.com

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.

• Critical Care Physician of New York PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newburgh, NY
  • NPI 1316293954
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Connecticut - TCS

  • Internal Medicine Physician
  • Manchester, CT
  • NPI 1831712256
  Medicare reassignment Care Compare group NPD
• Christus Trinity Clinic Texas

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225

  Anesthesiology

  Medicare reassignment NPD
• Questcare Hospitalists PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1265441620

  Internal Medicine

  Medicare reassignment NPD
• Sanford Clinic

  • Psychologist
  • Sioux Falls, SD
  • NPI 1396764254
  Medicare reassignment NPD
• Sound Physicians Intensivists of Georgia PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Macon, GA
  • NPI 1376159590
  Medicare reassignment NPD
• FHPG, LLC

  • Family Medicine Physician
  • Lillington, NC
  • NPI 1760329486
  Medicare reassignment
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• FHPG, LLC

  • Family Medicine Physician
  • Ellerbe, NC
  • NPI 1336154129
  NPD
• FHPG, LLC

  • Specialist
  • Troy, NC
  • NPI 1346279445
  NPD
• FHPG, LLC

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1942196035
  NPD
• Sanford Clinic

  • Diagnostic Radiology Physician
  • Fargo, ND
  • NPI 1306641345
  NPD

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

• Wyckoff Heights Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1700886322
  Care Compare affiliation

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1124080288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 N MACARTHUR BLVD STE 122-228",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386419",
            "telephone_number": "888-484-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N TARRANT PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778601",
            "telephone_number": "817-639-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984220",
            "country_code": "US",
            "telephone_number": "844-307-4206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Spencer Hwy",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775041202",
            "country_code": "US",
            "telephone_number": "844-307-4206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Citywest Blvd",
            "address_2": "Ste. 300",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77042",
            "country_code": "US",
            "telephone_number": "713-620-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADESANYA",
        "first_name": "ADEBOLA",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K1331",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1331",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "TX",
            "license": "K1331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132360204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132360208",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132360207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Critical Care Medicine (Anesthesiology) Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Critical Care Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.