NPIMap

Individual provider Active NPI

Adeleye A. Edon, DO

  • Nephrology Physician
  • London, OH
National Provider Identifier
1306105804
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34.012823 Issued in OH
Practice address
210 N Main St
London, OH 43140-1115
Phone
(740) 845-7700
Fax
(740) 845-7701
NPI assigned
May 4, 2012
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 34.012823 OH Primary
Internal Medicine Physician 207R00000X R2915 KY

Addresses

Primary practice location

210 N Main St
London, OH 43140-1115

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (740) 845-7700

Other practice location 1

900 S Limestone
charles t wethington building room 306
Lexington, KY 40536-0284
Phone (859) 323-9918

Other practice location 2

2315 Derr Rd
Springfield, OH 45503-2439
Phone (937) 322-7364

Other names 1

  • Adeleye Annick Muriel Edon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170613000234 OH Practitioner - Nephrology 7214215102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Ohio University, College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult Hypertension and Kidney Specialists LLCGroup PAC ID 8022310374, 3 clinicians
Osup Community Outreach LLCGroup PAC ID 5799008082, 147 clinicians

Practice addresses (Care Compare)

1266 N Broad St
Fairborn, OH 45324-5549
Phone (937) 322-7364

210 N Main St
London, OH 43140-1115
Phone (740) 845-7000

2200 N Limestone St
Suite 114
Springfield, OH 45503-2692

2315 Derr Rd
Springfield, OH 45503-2439
Phone (937) 322-7364

6100 N Hamilton Rd
Westerville, OH 43081-2062
Phone (614) 293-4969

900 Scioto St
Suite 11
Urbana, OH 43078-2251
Phone (937) 322-7364

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2915KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osup Community Outreach LLC CurrentSince Mar 1, 2024 Accepting new patients
Adult Hypertension and Kidney Specialists LLC Nephrology CurrentSince Jul 3, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

210 N Main St
London, OH 43140
Phone (740) 845-7343

2200 N Limestone St
Ste 114
Springfield, OH 45503
Phone (937) 322-7364

2315 Derr Rd
Springfield, OH 45503
Phone (937) 322-7364

6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100

Interoperability endpoints

  • Direct secure messaging: aedon327276@direct.bsmhealth.org
  • Direct secure messaging: aedon622238@direct.osumc.edu

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy Health - Springfield Regional Medical CenterSpringfield, OH, CCN 360086 Hospital Corporate Director Jan 1, 2022
Mercy Health - Urbana HospitalUrbana, OH, CCN 361312 Hospital Corporate Director Jan 1, 2022
Mercy Health - Urbana HospitalUrbana, OH, CCN 36Z312 Hospital Corporate Director Jan 1, 2022
Mercy Health-Springfield Regional Medical CenterSpringfield, OH, CCN 36T086 Hospital Corporate Director Jan 1, 2022
Mercy Health - Urbana Hospital Primary CareUrbana, OH, CCN 363419 Rural health clinic Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 9

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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1306105804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "740-845-7700",
            "fax_number": "740-845-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401115",
            "telephone_number": "740-845-7700",
            "fax_number": "740-845-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S Limestone",
            "address_2": "charles t wethington building room 306",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360284",
            "country_code": "US",
            "telephone_number": "859-323-9918",
            "fax_number": "859-323-1197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2315 Derr Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455032439",
            "country_code": "US",
            "telephone_number": "937-322-7364",
            "fax_number": "937-322-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDON",
        "first_name": "ADELEYE",
        "middle_name": "A.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "34.012823",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "R2915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADELEYE",
            "last_name": "EDON",
            "middle_name": "ANNICK MURIEL",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in London, OH

Sources for this page

Verify at the official NPI Registry.