Individual provider Active NPI

Oluseyi Nutayi Senu-Oke, MD

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1235137613
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10002811 Issued in DE
Practice address
4011 N Market St
Wilmington, DE 19802-2219
Phone
(302) 762-0200
Fax
(302) 762-0500
NPI assigned
Jul 11, 2005
Last updated
Nov 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C10002811 DE Primary

Addresses

Primary practice location

4011 N Market St
Wilmington, DE 19802-2219

Mailing address

4011 N Market St
Wilmington, DE 19802-2219
Phone (302) 762-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110826000032 DE Practitioner - Family Practice 3971545203 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10002811DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress, Inc - Delaware Family Medicine Current Accepting new patients
Medexpress, Inc - Delaware Family Medicine CurrentSince Jan 16, 2019 Accepting new patients

Locations

129 N DuPont Hwy
New Castle, DE 19720
Phone (302) 328-5150

2722 Concord Pike
Wilmington, DE 19803
Phone (302) 477-1406

Organizations & group practices 2

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1235137613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 N MARKET ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022219",
            "telephone_number": "302-762-0200",
            "fax_number": "302-762-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 N MARKET ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022219",
            "telephone_number": "302-762-0200",
            "fax_number": "302-762-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENU-OKE",
        "first_name": "OLUSEYI",
        "middle_name": "NUTAYI",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10002811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.