Active NPI
Anthony a Adeleye M. D., P. C.
- Surgery Physician
- Southfield, MI
National Provider Identifier
1164564084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301404448
- Legal business name
- ANTHONY A ADELEYE M. D., P. C.
- Practice address
- 20905 Greenfield Rd
Ste. 702
Southfield, MI 48075-5360 - Phone
- (248) 569-6700
- Fax
- (248) 569-6706
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony A Adeleye, M. D.
- Title
- President
- Phone
- (248) 569-6700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301404448 | MI | Primary |
| Urology Physician | 208800000X | 4301404448 | MI |
Addresses
Primary practice location
20905 Greenfield Rd
Ste. 702
Southfield, MI 48075-5360
Mailing address
20905 Greenfield Rd
Ste. 702
Southfield, MI 48075-5360
Phone (248) 569-6700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275552655 | Other | MI | INDIVIDUAL NPI |
| 2601449 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1164564084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20905 GREENFIELD RD",
"address_2": "STE. 702",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480755360",
"telephone_number": "248-569-6700",
"fax_number": "248-569-6706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20905 GREENFIELD RD",
"address_2": "STE. 702",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480755360",
"telephone_number": "248-569-6700",
"fax_number": "248-569-6706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY A ADELEYE M. D., P. C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "ADELEYE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-569-6700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "MI",
"license": "4301404448",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": "MI",
"license": "4301404448",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1275552655",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2601449",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.