Individual provider Active NPI

Adebola Oluwatosin Orekoya, MD

  • Cardiovascular Disease Physician
  • Decatur, IL
National Provider Identifier
1306372735
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036167427 Issued in IL
Practice address
2300 N Edward St Ste 2400
Decatur, IL 62526-4163
Phone
(217) 876-2400
Fax
(217) 876-2405
NPI assigned
May 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036167427 IL
Cardiovascular Disease Physician 207RC0000X 036167427 IL Primary

Addresses

Primary practice location

2300 N Edward St Ste 2400
Decatur, IL 62526-4163

Mailing address

2300 N Edward St Ste 2400
Decatur, IL 62526-4163
Phone (217) 876-2400

Other identifiers 1

IdentifierTypeStateIssuer
336126127OtherILCS LICENSE

Other names 1

  • Adebola Oluwatosin Ogunsakin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240719003405 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375880685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

Practice addresses (Care Compare)

2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-8121

241 W Weaver Rd
Suite 145B
Forsyth, IL 62535-9766
Phone (217) 876-5220

389 W Weaver Rd
Suite 100
Forsyth, IL 62535-9800
Phone (217) 876-5390

4775 E Maryland St
Decatur, IL 62521-8802
Phone (217) 864-3737

515 N College St
Lincoln, IL 62656-1401
Phone (217) 732-9681

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.88 of 100Reported as group
Quality
63.91
Improvement activities
40
Cost
77.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting47
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Clinic LLP Current Accepting new patients
Decatur Memorial Hospital Internal Medicine CurrentSince Jul 9, 2024 Accepting new patients
Decatur Memorial Hospital CurrentSince Jul 9, 2024 Accepting new patients

Locations

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

2300 N Edward St
Ste 2400
Decatur, IL 62526
Phone (217) 876-2400

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

Interoperability endpoints

  • Direct secure messaging: adebolaorekoya@sfc.allscriptsdirect.net

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 and National Provider Directory roles.

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1306372735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST STE 2400",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264163",
            "telephone_number": "217-876-2400",
            "fax_number": "217-876-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST STE 2400",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264163",
            "telephone_number": "217-876-2400",
            "fax_number": "217-876-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OREKOYA",
        "first_name": "ADEBOLA",
        "middle_name": "OLUWATOSIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036167427",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036167427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CS LICENSE",
            "identifier": "336126127",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADEBOLA",
            "last_name": "OGUNSAKIN",
            "middle_name": "OLUWATOSIN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.