NPIMap

Oluwaseun Akinduro, MD

Individual provider Active NPI Neurological Surgery Physician · Providence, RI

NPI 1194170217 · NPPES record last updated Apr 11, 2023

Key facts

NPI
1194170217
Entity type
Individual (NPI type 1)
Primary specialty
Neurological Surgery Physician 207T00000X
License
MD19036 (RI)
Practice address
593 Eddy Street Apc 6
Providence, RI 02903-4923
Phone
(401) 793-9166
Fax
(401) 793-9166
NPI assigned
Apr 26, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Neurosurgery
Education
Morehouse School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Cora Health Services Inc (1,125 clinicians)
Mayo Clinic Jacksonville (1,595 clinicians)

Practice addresses (Care Compare)

1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 693-3378

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

Hospital & facility affiliations

  • Brooks Rehabilitation Home Health Home health agency · Jacksonville, FL · CCN 103174
  • Mayo Clinic Hospital · Jacksonville, FL · CCN 100151
  • AdventHealth Palm Coast Hospital · Palm Coast, FL · CCN 100118
  • Adventhealth Orlando Hospital · Orlando, FL · CCN 100007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion93
Laminectomy or laminotomy (partial removal of spine bones)63
Removal of tissue1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230324000303 FL Practitioner - Neurosurgery 5092008730 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME133615FLMDNeurological Surgery Physician
MD19036RIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Jacksonville Current
since Feb 15, 2023		 Accepting new patients
Lifespan Physician Group, Inc. Current
since Jul 1, 2023		 Accepting new patients
Mayo Clinic Jacksonville Current
since Feb 15, 2023		 Accepting new patients
Lifespan Physician Group, Inc. Current
since Jul 1, 2023		 Accepting new patients
Mayo Clinic Jacksonville Current Accepting new patients

Locations

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
#7
Providence, RI 02903
Phone (401) 444-3565

593 Eddy St
#6
Providence, RI 02903
Phone (401) 793-9166

Interoperability endpoints

  • Direct secure messaging: oakinduro390575@ehrdirect.mayoclinicmsg.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME133615 FL
Neurological Surgery Physician 207T00000X MD19036 RI Yes

Addresses

Primary practice location

593 Eddy Street Apc 6
Providence, RI 02903-4923

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Other practice location 1

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address oakinduro390575@ehrdirect.mayoclinicmsg.org

Other providers in Providence, RI

All providers in Providence, RI · Neurological Surgery Physician in Rhode Island

Sources for this page

Verify at the official NPI Registry.