Adewumi Bakare, DMS, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA06380 Issued in TX

Practice address

5115 N Galloway Ave Ste 203
Mesquite, TX 75150-7535

Phone

(214) 660-8554

Fax

(214) 660-8634

NPI assigned

Dec 29, 2008

Last updated

Oct 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, UT, WA, CA, ID, OR, TN, MN, WI, MO, GA, IN, MI, OH, PA, IL, SC, IA18 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 18

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

15.75 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

52.49

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations (25 of 41)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14525/brand/1/csg/1/fhir/r4

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.

• Altea Medical California PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Eureka, CA
  • NPI 1174302954
  Medicare reassignment NPD
• Altea Medical Georgia PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Sylvania, GA
  • NPI 1407692452
  Medicare reassignment NPD
• Altea Medical Indiana PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gary, IN
  • NPI 1992584783
  Medicare reassignment NPD
• Altea Medical Maryland LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Westminster, MD
  • NPI 1770301277

  IA, MI

  Medicare reassignment NPD
• Altea Medical Michigan PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Plymouth, MI
  • NPI 1053142000
  Medicare reassignment NPD
• Altea Medical Minnesota PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Saint Cloud, MN
  • NPI 1245022565
  Medicare reassignment NPD
• Altea Medical Missouri LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Wildwood, MO
  • NPI 1649032608
  Medicare reassignment NPD
• Altea Medical Oregon LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Portland, OR
  • NPI 1184451254
  Medicare reassignment NPD
• Altea Medical Tennessee PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Clinton, TN
  • NPI 1568207983
  Medicare reassignment NPD
• Altea Medical Washington PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Everett, WA
  • NPI 1609655497
  Medicare reassignment NPD
• Altea Medical Wisconsin S.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Green Bay, WI
  • NPI 1265320949
  Medicare reassignment NPD
• Santibanez Pac Idaho

  • Geriatric Medicine (Internal Medicine) Physician
  • Idaho Falls, ID
  • NPI 1346015948

  Physician Assistant

  Medicare reassignment NPD

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1194961904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 S COLLINS ST STE 108",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760141247",
            "telephone_number": "737-273-9380",
            "fax_number": "737-273-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 N GALLOWAY AVE STE 203",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507535",
            "telephone_number": "214-660-8554",
            "fax_number": "214-660-8634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 W Big Beaver Rd # 316",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844900",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8500 Normandale Lake Blvd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554373805",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 S 3rd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432155194",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 1st St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941052661",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKARE",
        "first_name": "ADEWUMI",
        "name_prefix": "Dr.",
        "credential": "DMS, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-29",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA59643",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2021021702",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10383",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11282",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013074",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "3099",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "12215796-1206",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06380",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601010504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julienne Bacani-Cruz, AGPCNP-BC
• Back II Good Injury & Wellness Center
• Candance K Bailey, RN
• Teia C Bailey, NP
• Paige Alexandra Bair, SLP
• Kimberly Ann Baker, DDS
• Fadia Bakhsh
• Melinda Sanders Banker
• Kelly S Barber Walker, NP
• Hector Sergio Barboza

• Medical Physician Assistant in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.