Individual provider Active NPI

Adeleke Oni

  • Emergency Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1265707590
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2015-00953 Issued in NC
Practice address
Medical Center Blvd
Winston Salem, NC 27157
Phone
(336) 716-4626
NPI assigned
Mar 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2015-00953 NC Primary

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20151006002474 NC Practitioner - Emergency Medicine 8921316290 Reassigns benefits to 4 organizations
I20211108000832 IL Practitioner - Emergency Medicine 8921316290 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Tennessee, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crawford Hospital DistrictGroup PAC ID 7719898071, shared by 8 NPIs, 71 clinicians
Wake Forest Emergency ProvidersGroup PAC ID 7012819816, 497 clinicians

Practice addresses (Care Compare)

1000 N Allen St
Robinson, IL 62454-1114
Phone (618) 546-5600

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 716-2255

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015-00953NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Emergency Providers CurrentSince Jul 1, 2019 Accepting new patients
Richland Memorial Hospital, Inc. CurrentSince Oct 12, 2021 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Duke University Health System, Inc. CurrentSince May 13, 2016 Accepting new patients
Wake Forest University Health Sciences CurrentSince Aug 10, 2015 Accepting new patients
Duke University Health System, Inc. CurrentSince May 13, 2016 Accepting new patients
Duke University Health System, Inc. Current Accepting new patients
Crawford Hospital District CurrentSince Oct 11, 2021 Accepting new patients
Crawford Hospital District CurrentSince Oct 11, 2021 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Oct 12, 2021 Accepting new patients
Wake Forest University Health Sciences Emergency Medicine CurrentSince Aug 10, 2015 Accepting new patients
Crawford Hospital District Current Accepting new patients
Vidant Medical Group LLC CurrentSince Jun 8, 2018 Accepting new patients

Locations

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

800 E Locust St
Olney, IL 62450
Phone (618) 395-2131

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1814 Westchester Dr
Ste 203C
High Point, NC 27262

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

218 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-7461

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: aonimd336354@carlehiedirect.net
  • Direct secure messaging: aoni832866@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1265707590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27157",
            "telephone_number": "336-716-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONI",
        "first_name": "ADELEKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2015-00953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.