NPIMap

Individual provider Active NPI

Adediji Osinloye, M.D.

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1316993462
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200401293 Issued in NC
Practice address
10922 S Tryon St
Suite a
Charlotte, NC 28273-4151
Phone
(704) 368-7540
Fax
(704) 368-7541
NPI assigned
May 26, 2006
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2004-01293 NC
Internal Medicine Physician 207R00000X 31254 SC
Internal Medicine Physician 207R00000X 200401293 NC Primary

Addresses

Primary practice location

10922 S Tryon St
Suite a
Charlotte, NC 28273-4151

Mailing address

10922 S Tryon St
Suite a
Charlotte, NC 28273-4151
Phone (704) 368-7540

Other identifiers 7

IdentifierTypeStateIssuer
5900627MedicaidNC
26-2140977OtherAETNA
26-2140977OtherNCBCBS NC
26-2140977OtherTRICARE
13827OtherNCBLUE CROSS BLUE SHIELD
26-21400977OtherPACIFICARE
26-2140977OtherNCUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20081112000450 SC Practitioner - Internal MedicinePractitioner - Emergency Medicine 9335137207 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JS Weill Medical College, Cornell University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

Practice addresses (Care Compare)

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.1 of 100Reported as individual
Quality
88.54
Promoting interoperability
92
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004-01293NCMDEmergency Medicine Physician
31254SCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Oct 7, 2019 Accepting new patients
Carolina Family Care, Inc Internal Medicine CurrentSince Sep 10, 2020 Accepting new patients
Carolina Family Care, Inc CurrentSince Sep 10, 2020 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
App of South Carolina Ed PLLC Emergency Medicine CurrentSince Oct 31, 2017 Accepting new patients
Palmetto Medical Group, PLLC Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
SC House Calls Inc CurrentSince Oct 7, 2019 Accepting new patients
Musc Community Physicians Emergency Medicine CurrentSince Jan 30, 2022 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Mar 13, 2009 Accepting new patients
Palmetto Medical Group, PLLC Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
Western Carolina Emergency Physicians, PLLC Emergency Medicine PastSince Feb 9, 2020 Accepting new patients
Wren Emergency Physicians Emergency Medicine Past Accepting new patients
Hillside Emergency Physicians Emergency Medicine Past Accepting new patients
Vance Emergency Physicians Emergency Medicine Past Accepting new patients
South Carolina Em-I Medical Services, PC Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1 Medical Park Dr
Chester, SC 29706
Phone (803) 581-3151

1 Medical Park Dr
Bldg 3
Chester, SC 29706
Phone (803) 385-5000

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

1530 N Limestone St
Gaffney, SC 29340
Phone (864) 487-1544

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

1040 Edgewater Corporate Pkwy
Ste 101
Indian Land, SC 29707
Phone (803) 548-7007

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: adediji.osinloye.1@7602.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Brookview Healthcare CenterGaffney, SC, CCN 425062 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2022
Nov 17, 2025

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 8

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1316993462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10922 S TRYON ST",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734151",
            "telephone_number": "704-368-7540",
            "fax_number": "704-368-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10922 S TRYON ST",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734151",
            "telephone_number": "704-368-7540",
            "fax_number": "704-368-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSINLOYE",
        "first_name": "ADEDIJI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2004-01293",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "31254",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200401293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900627",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "26-2140977",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "26-2140977",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "26-2140977",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "13827",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "26-21400977",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "26-2140977",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.