Individual provider Active NPI

Olusunmade Adekunle

  • Emergency Medicine Physician
  • Hudson, FL
National Provider Identifier
1164717658
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS11354 Issued in FL
Practice address
14000 Fivay Rd
Hudson, FL 34667-7103
Phone
(727) 819-2929
NPI assigned
Jun 13, 2011
Last updated
Jun 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS11354 FL Primary

Addresses

Primary practice location

14000 Fivay Rd
Hudson, FL 34667-7103

Mailing address

18167 US Highway 19 N
Suite 650
Clearwater, FL 33764-3528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110921000459 FL Practitioner - Emergency Medicine 3274704358 Reassigns benefits to 3 organizations
I20170906000352 TX Practitioner - Emergency Medicine 3274704358 Reassigns benefits to 2 organizations
I20200206001121 MD Practitioner - Emergency Medicine 3274704358 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Round Table Physicians Group PLLC CurrentSince Nov 1, 2024 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Duval Emergency Group LLC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Tampa General Hospital Current Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Dec 22, 2019 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Jasper Emergency Medicine Associates PA Emergency Medicine CurrentSince Sep 30, 2022 Accepting new patients
Round Table Specialist Group, PLLC Emergency Medicine Current Accepting new patients
Jefferson Emergency Medicine Associates PA Emergency Medicine CurrentSince Mar 27, 2022 Accepting new patients
W4P LLC Emergency Medicine CurrentSince Nov 15, 2017 Accepting new patients
Southeast Emergency Medicine Associates, PA Emergency Medicine CurrentSince Sep 30, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Dec 22, 2019 Accepting new patients
Florida Em-I Medical Services, PA Emergency Medicine Past Accepting new patients
Split Mountain Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Brodrick ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
FL-I Medical Services, LLC Past Accepting new patients

Locations (25 of 37)

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

8500 State Road 70 E
Lakewood Ranch, FL 34202
Phone (941) 232-6532

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: oadekunle295808@direct.tgh.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1164717658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18167 US HIGHWAY 19 N",
            "address_2": "SUITE 650",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 FIVAY RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677103",
            "telephone_number": "727-819-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEKUNLE",
        "first_name": "OLUSUNMADE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS11354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.