Individual provider Active NPI

Emmanuel Olayinka Adekunle, M.D.

  • Pediatric Sports Medicine Physician
  • Akron, OH
National Provider Identifier
1285851451
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X
License
35.089559 Issued in OH
Practice address
1600 E Turkeyfoot Lake Rd
Akron, OH 44312-5365
Phone
(330) 899-5437
Fax
(330) 899-5447
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sports Medicine Physician 2080S0010X 35.089559 OH Primary

Addresses

Primary practice location

1600 E Turkeyfoot Lake Rd
Akron, OH 44312-5365

Mailing address

1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 899-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090224000318 OH Practitioner - Pediatric Medicine 9436214558 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.089559OHMDPediatric Sports Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio North East Health Systems, Inc. CurrentSince Mar 28, 2017 Accepting new patients
Ohio North East Health Systems Inc CurrentSince Mar 28, 2017 Accepting new patients
Ohio North East Health Systems, Inc. Current Accepting new patients
Ohio North East Health Systems, Inc Past Accepting new patients

Locations

175 E Broad St
Newton Falls, OH 44444
Phone (330) 747-9551

1821 E Market St
Warren, OH 44483
Phone (330) 392-7000

726 Wick Ave
Youngstown, OH 44505
Phone (330) 747-2330

Interoperability endpoints

  • Direct secure messaging: emmanuel.adekunle.p1@direct.oho.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1285851451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-899-5437",
            "fax_number": "330-899-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E TURKEYFOOT LAKE RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125365",
            "telephone_number": "330-899-5437",
            "fax_number": "330-899-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEKUNLE",
        "first_name": "EMMANUEL",
        "middle_name": "OLAYINKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "OH",
            "license": "35.089559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.