Individual provider Active NPI

Adedoyin Ibrahim Shittu, MD

  • Hospitalist Physician
  • Humble, TX
National Provider Identifier
1124606264
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
V0166 Issued in TX
Practice address
18951 N Memorial Dr Ste 103W
Humble, TX 77338-4217
Phone
(281) 540-8409
NPI assigned
Mar 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X V0166 TX
Hospitalist Physician 208M00000X V0166 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

18951 N Memorial Dr Ste 103W
Humble, TX 77338-4217

Mailing address

18951 N Memorial Dr Ste 103W
Humble, TX 77338-4217
Phone (202) 865-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240514002219 TX Practitioner - Internal Medicine 9436590023 Reassigns benefits to 3 organizations
I20250106003739 LA Practitioner - Internal Medicine 9436590023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians
Hospitalist Medicine Physicians of Texas - Burnet PLLCGroup PAC ID 1850831637, 76 clinicians

Practice addresses (Care Compare)

11800 Astoria Blvd
Houston, TX 77089-6041
Phone (281) 929-6259

1201 W Frank Ave
Lufkin, TX 75904-3357
Phone (936) 634-8111

16100 S Fwy
Pearland, TX 77584-1895
Phone (713) 413-6941

16100 S Fwy N3 172
Pearland, TX 77584-1895
Phone (713) 413-5738

18951 N Memorial Dr
Humble, TX 77338-4217
Phone (281) 319-8409

23900 Katy Fwy
Katy, TX 77494-1323
Phone (281) 644-8111

3203 Broadway St
Pearland, TX 77581-1414
Phone (281) 485-8876

5016 S US Hwy 75
Texoma Medical Center
Denison, TX 75020-4584
Phone (903) 416-4000

915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
  • Texoma Medical Center Hospital, Denison, TX, CCN 450324
  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas - Burnet PLLC Internal Medicine CurrentSince Jan 26, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Memorial Hermann Medical Group Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Central Louisiana Physicians, LLC Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

200 Corporate Blvd
Lafayette, LA 70508

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

909 Frostwood Dr
Ste 1405
Houston, TX 77024
Phone (713) 338-5519

1635 North Loop W
Fl 1
Houston, TX 77008
Phone (713) 867-2066

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

18951 N Memorial Dr
Ste 103W
Humble, TX 77338
Phone (281) 540-7700

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

1717 Highway 59 Loop N
Livingston, TX 77352
Phone (936) 329-8500

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

1498 Pacific Ave
Ste 500
Tacoma, WA 98402
Phone (253) 682-6040

Organizations & group practices 6

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 9

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1124606264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18951 N MEMORIAL DR STE 103W",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384217",
            "telephone_number": "202-865-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18951 N MEMORIAL DR STE 103W",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384217",
            "telephone_number": "281-540-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHITTU",
        "first_name": "ADEDOYIN",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V0166",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "V0166",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.