Individual provider Active NPI

Modupeola Oladunni Abiodun, M.D.

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1225326853
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
59420 Issued in AZ
Practice address
4960 S Alma School Rd Ste 18
Chandler, AZ 85248-5573
Phone
(480) 447-4244
NPI assigned
Jul 18, 2011
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0070281 CO
Family Medicine Physician 207Q00000X MD61405535 WA
Family Medicine Physician 207Q00000X 59420 AZ Primary

Addresses

Primary practice location

4960 S Alma School Rd Ste 18
Chandler, AZ 85248-5573

Mailing address

4960 S Alma School Rd Ste 18
Chandler, AZ 85248-5573
Phone (480) 447-4244

Other practice location 1

8175 Sheridan Blvd Unit N
Arvada, CO 80003-1928
Phone (303) 557-0855

Other practice location 2

1414 S 324th St Ste B207
Federal Way, WA 98003-8444
Phone (425) 224-2144

Other identifiers 1

IdentifierTypeStateIssuer
023024100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20191204001309 AZ Practitioner - Family Practice 5597983551 Reassigns benefits to 1 organization
I20230426001912 CO Practitioner - Family Practice 5597983551 Reassigns benefits to 2 organizations
I20230615001726 WA Practitioner - Family Practice 5597983551 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Senior Health, LLC CurrentSince Jun 2, 2023 Accepting new patients
Iora Health Washington Physicians, P.C. CurrentSince Jun 2, 2023 Accepting new patients
Iora Health Colorado, P.C. CurrentSince May 1, 2023 Accepting new patients
Iora Health Washington Physicians, P.C. CurrentSince Jun 2, 2023 Accepting new patients
Iora Senior Health, LLC CurrentSince Aug 30, 2024 Accepting new patients
Iora Health Colorado, P.C. CurrentSince May 1, 2023 Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Iora Senior Health, LLC CurrentSince Dec 2, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Iora Health, LLC Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients

Locations

4960 S Alma School Rd
Ste 18
Chandler, AZ 85248
Phone (480) 447-4244

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

8175 Sheridan Blvd
Unit N
Arvada, CO 80003
Phone (303) 557-0855

1080 S Sable Blvd
Unit 18
Aurora, CO 80012
Phone (303) 552-9577

101 Tremont St
Fl 6
Boston, MA 02108

1414 S 324th St
Ste B207
Federal Way, WA 98003
Phone (253) 220-3121

3705 S Meridian
Ste B
Puyallup, WA 98373
Phone (253) 765-5050

64 Rainier Ave S
Ste I
Renton, WA 98057
Phone (425) 224-2144

15214 Aurora Ave N
Shoreline, WA 98133
Phone (206) 518-9021

5006 Center St
Ste R
Tacoma, WA 98409
Phone (253) 275-0200

Organizations & group practices 12

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": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1225326853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 S ALMA SCHOOL RD STE 18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485573",
            "telephone_number": "480-447-4244",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 S ALMA SCHOOL RD STE 18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485573",
            "telephone_number": "480-447-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8175 Sheridan Blvd Unit N",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800031928",
            "country_code": "US",
            "telephone_number": "303-557-0855",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 S 324th St Ste B207",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980038444",
            "country_code": "US",
            "telephone_number": "425-224-2144",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABIODUN",
        "first_name": "MODUPEOLA",
        "middle_name": "OLADUNNI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0070281",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61405535",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "59420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023024100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.