Individual provider Active NPI

Adedayo Odunsi, M.D

  • Nephrology Physician
  • Dayton, OH
National Provider Identifier
1174501233
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35.097187 Issued in OH
Practice address
455 Turner Road
Dayton, OH 45415
Phone
(937) 496-5162
Fax
(937) 522-0485
NPI assigned
Jan 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35.097187 OH Primary

Addresses

Primary practice location

455 Turner Road
Dayton, OH 45415

Mailing address

455 Turner Road
Dayton, OH 45415
Phone (937) 496-5162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110609000344 OH Practitioner - NephrologyPractitioner - Internal Medicine 7113104688 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fresenius Vascular Care Dayton LLCGroup PAC ID 1355756214, 3 clinicians
Renal Physicians IncGroup PAC ID 5193624161, 29 clinicians

Practice addresses (Care Compare)

2016 Springboro W
Moraine, OH 45439-1648
Phone (937) 298-6777

455 Turner Rd
Dayton, OH 45415-3630
Phone (937) 496-5162

Hospital & facility affiliations

  • DaVita Five Rivers Dialysis Dialysis facility, Dayton, OH, CCN 362803
  • DaVita Huber Heights Dialysis Dialysis facility, Huber Heights, OH, CCN 362833
  • DaVita Home Dialysis of Dayton - South Dialysis facility, Kettering, OH, CCN 362541
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.097187OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fresenius Vascular Care Dayton LLC CurrentSince Apr 1, 2021 Accepting new patients
Renal Physicians Inc Nephrology CurrentSince Jul 28, 2016 Accepting new patients
Nephrology Associates of Dayton Inc Nephrology CurrentSince Jul 28, 2016 Accepting new patients

Locations

455 Turner Rd
Dayton, OH 45415
Phone (937) 294-6711

7700 Washington Village Dr
Ste 230
Dayton, OH 45459
Phone (937) 438-0099

7700 Washington Village Dr
Ste 213
Dayton, OH 45459
Phone (934) 312-6540

500 Lincoln Park Blvd
Ste 100
Kettering, OH 45429
Phone (937) 222-3118

2016 Springboro W
Moraine, OH 45439
Phone (937) 298-6777

Interoperability endpoints

  • Direct secure messaging: adedayo.odunsi.p188@direct.aac.nextgenshare.com

Organizations & group practices 3

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 6

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": "1136678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1174501233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TURNER ROAD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45415",
            "telephone_number": "937-496-5162",
            "fax_number": "937-522-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 TURNER ROAD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45415",
            "telephone_number": "937-496-5162",
            "fax_number": "937-522-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUNSI",
        "first_name": "ADEDAYO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-08",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35.097187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.