Active NPI
Temitope Ade-Oshifogun, MD
- Family Medicine Physician
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RS2020-0427
- Practice address
- 2450 S Telshor Blvd
Las Cruces, NM 88011-5069 - Phone
- (575) 521-5385
- NPI assigned
- Jun 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RS2020-0427 | NM | Primary |
Addresses
Primary practice location
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Mailing address
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230608002914 | NM | Practitioner - Family Practice | 2365865326 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cura HealthcareNorthwest Hospital Medicine Physicians LLCSouthwest Emergency Medical Associates of NM PC
Practice addresses (Care Compare)
Albuquerque, NM 87110
Phone (505) 413-3719
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (575) 522-8641
2450 S Telshor Blvd
Las Cruces, NM 88011-5076
Phone (575) 522-8641
Hospital & facility affiliations
- Memorial Medical Center
- Gila Regional Medical Center
- Las Cruces Wellness & Rehabilitation LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS2020-0427 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Arizona Inc | Current | Accepting new patients | |
| Northwest Hospital Medicine Physicians LLC | Current | Accepting new patients | |
| Southwest Emergency Medical Associates of NM PC | Current | Accepting new patients | |
| PHC-Las Cruces Inc | Past | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584
405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170
Interoperability endpoints
- temitope.ade-oshifogun.1@19849.direct.athenahealth.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.
-
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1720505571
NM
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Las Cruces, NM
- NPI 1487411328
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1205450293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 S TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880115069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 S TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880115069",
"telephone_number": "575-521-5385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADE-OSHIFOGUN",
"first_name": "TEMITOPE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-04",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "RS2020-0427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.