Individual provider Active NPI

Olufolakemi Adetutu Akinkunmi, MD

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1184936296
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD452359 Issued in PA
Practice address
800 Spruce St
Pennsylvania Hospital
Philadelphia, PA 19107-6130
Phone
(215) 839-3396
NPI assigned
Jul 6, 2010
Last updated
Jan 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD452359 PA Primary

Addresses

Primary practice location

800 Spruce St
Pennsylvania Hospital
Philadelphia, PA 19107-6130

Mailing address

834 Chestnut St
Apt 1126
Philadelphia, PA 19107-5127
Phone (617) 461-4729

Other names 1

  • Olufolakemi Adetutu Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150320001474 PA Practitioner - Obstetrics/Gynecology 0941527428 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Feb 11, 2015 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Obstetrics & Gynecology CurrentSince Feb 11, 2015 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
The Pennsylvania Hospital of the University of Pennsylvania Health Sys Past Accepting new patients

Locations

700 Spruce St
Ste 200
Philadelphia, PA 19106
Phone (215) 829-3525

801 Spruce St
Philadelphia, PA 19107
Phone (215) 829-3396

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1184936296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 CHESTNUT ST",
            "address_2": "APT 1126",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075127",
            "telephone_number": "617-461-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "address_2": "PENNSYLVANIA HOSPITAL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-839-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINKUNMI",
        "first_name": "OLUFOLAKEMI",
        "middle_name": "ADETUTU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD452359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUFOLAKEMI",
            "last_name": "WILLIAMS",
            "middle_name": "ADETUTU",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.