Active NPI
Adebayo Odunlami, MD FAAP
- Pediatrics Physician
- Ocala, FL
National Provider Identifier
1326000456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 101959
- Practice address
- 307 SW 14TH St
Ocala, FL 34471-6523 - Phone
- (352) 433-2633
- Fax
- (352) 433-2644
- NPI assigned
- Apr 4, 2006
- Last updated
- Sep 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 101959 | FL | Primary |
Addresses
Primary practice location
307 SW 14TH St
Ocala, FL 34471-6523
Mailing address
307 SW 14TH St
Ocala, FL 34471-6523
Phone (352) 433-2633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000044900 | Medicaid | FL | |
| 000044901 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101959 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Track Pediatrics | Past | Accepting new patients | |
| Nymhc FPP Nephrology | Past | Accepting new patients |
Interoperability endpoints
- aodunlami@fast-track-pediatrics.direct.kno2fy.com
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Ocala, FL
- NPI 1225496821
-
- Nephrology Physician
- New York, NY
- NPI 1306878657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1326000456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 SW 14TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344716523",
"telephone_number": "352-433-2633",
"fax_number": "352-433-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 SW 14TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344716523",
"telephone_number": "352-433-2633",
"fax_number": "352-433-2644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODUNLAMI",
"first_name": "ADEBAYO",
"credential": "MD FAAP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "101959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000044900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000044901",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
- Sylvia Ocarroll
- Madelyn Ocasio
- Occupational Health Centers of the Southwest, P.a (Concentra Medical Center)
- Occupational Health Centers of the Southwest, P.a. (FL) (Concentra Medical Center)
- Kathleen J Oconnor, RN
- Lauren Ogden-Labarge, PHARMD
- Ashten Oglesby
- Rhonda Oglesby
- Oibo Medical Outreach LLC
- Joseph A Oibo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.