Individual provider Active NPI

Abimbola Osunyele Osunkoya, M.D, M.R., C.O.G.

  • Internal Medicine Physician
  • Dover, DE
National Provider Identifier
1285615146
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10005391 Issued in DE
Practice address
810 New Burton Rd Ste 3
Dover, DE 19904-5488
Phone
(302) 730-0554
Fax
(302) 730-1175
NPI assigned
Nov 8, 2005
Last updated
Dec 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C10005391 DE Primary

Addresses

Primary practice location

810 New Burton Rd Ste 3
Dover, DE 19904-5488

Mailing address

810 New Burton Rd Ste 3
Dover, DE 19904-5488
Phone (302) 730-0554

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
I20120221000314 DE Practitioner - Internal Medicine 8123038718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware Primary Care LLCGroup PAC ID 3870503469, 6 clinicians

Practice addresses (Care Compare)

810 New Burton Rd
Suite 3
Dover, DE 19904-5488
Phone (302) 730-0554

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Primary Care LLC Internal Medicine CurrentSince Dec 1, 2001 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Mar 19, 2003 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Mar 19, 2003 Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

810 New Burton Rd
Ste 3
Dover, DE 19904
Phone (302) 730-0550

204 W Liberty Way
Ste 1
Milford, DE 19963
Phone (302) 730-0554

Interoperability endpoints

  • Direct secure messaging: delawareprimarycare.abimbolaosunkoya@120158.advancedmd-direct.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1285615146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 NEW BURTON RD STE 3",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199045488",
            "telephone_number": "302-730-0554",
            "fax_number": "302-730-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 NEW BURTON RD STE 3",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199045488",
            "telephone_number": "302-730-0554",
            "fax_number": "302-730-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUNKOYA",
        "first_name": "ABIMBOLA",
        "middle_name": "OSUNYELE",
        "name_prefix": "Dr.",
        "credential": "M.D, M.R., C.O.G.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10005391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.