Individual provider Active NPI

Adebayo Odunlami, MD FAAP

  • Pediatrics Physician
  • Ocala, FL
National Provider Identifier
1326000456
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
101959 Issued in FL
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000044900MedicaidFL
000044901MedicaidFL

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

LicenseStateTypeSpecialty
101959FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Track Pediatrics Past Accepting new patients
Nymhc FPP Nephrology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

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.

Verify at the official NPI Registry.