Active NPI
Oluseun O. Medeyinlo, M.D
- Pulmonary Disease Physician
- Florence, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 41560
- Practice address
- 4900 Houston Rd
Florence, KY 41042-4824 - Phone
- (859) 212-7700
- Fax
- (859) 212-7710
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 41560 | KY | |
| Pulmonary Disease Physician | 207RP1001X | 238066 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 41560 | KY | Primary |
Addresses
Primary practice location
4900 Houston Rd
Florence, KY 41042-4824
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 212-7700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00633297 | Other | KY | RAILROAD MEDICARE |
| 7100062500 | Medicaid | KY | |
| 2966849 | Medicaid | OH | |
| P00840872 | Other | KY | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-5901
1400 Grand Ave
Newport, KY 41071-2570
Phone (859) 301-5901
300 Barnes Rd
Williamstown, KY 41097-9483
Phone (859) 824-8400
4900 Houston Rd
Florence, KY 41042-4824
Phone (859) 212-4625
85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 301-5901
PO Box
Suite 635283
Cincinnati, OH 45263-5283
Hospital & facility affiliations
- St Elizabeth Edgewood
- St Elizabeth Florence
- St Elizabeth Ft Thomas
- Select Specialty Hospital-Northern Kentucky
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41560 | KY | MD | Pulmonary Disease Physician |
| 238066 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Summit Medical Group, Inc | Current | Accepting new patients | |
| Neurological & Sleep Disorders Inc | Pulmonary Disease | Past | Accepting new patients |
| Cincinnati Health Care Group PSC | Past | Accepting new patients | |
| Select Specialty Hospital - Northern Kentucky LLC | Past | Accepting new patients |
Locations
1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353
2765 Chapel Pl
Ste 200
Crestview Hills, KY 41017
Phone (859) 344-1900
340 Thomas More Pkwy
#160
Crestview Hills, KY 41017
651 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-6660
334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
525 Alexandria Pike
Ste 300
Southgate, KY 41071
Phone (606) 781-2210
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- omedeyinlo5737@direct-prd.stelizabeth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
-
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- Ambulatory Surgical Clinic/Center
- Crestview Hills, KY
- NPI 1881616357
-
- Long Term Care Hospital
- Fort Thomas, KY
- NPI 1477821619
-
- Sleep Medicine (Internal Medicine) Physician
- Cincinnati, OH
- NPI 1477519973
Pulmonary Disease
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Fort Thomas, KY
- NPI 1477821619
Long-term care hospital
-
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1205040136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-212-7700",
"fax_number": "859-212-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 HOUSTON RD",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410424824",
"telephone_number": "859-212-7700",
"fax_number": "859-212-7710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDEYINLO",
"first_name": "OLUSEUN",
"middle_name": "O.",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "KY",
"license": "41560",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "238066",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KY",
"license": "41560",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00633297",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100062500",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2966849",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00840872",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.