Individual provider Active NPI

Olusola Akinola Sadiku

  • Internal Medicine Physician
  • Houma, LA
National Provider Identifier
1326619693
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301511102 Issued in MI
Practice address
1978 Industrial Blvd
Leonard J. Chabert Medical Center Internal Medicine Res
Houma, LA 70363
Phone
(985) 873-2710
NPI assigned
Jul 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301511102 MI Primary

Addresses

Primary practice location

1978 Industrial Blvd
Leonard J. Chabert Medical Center Internal Medicine Res
Houma, LA 70363

Mailing address

1978 Industrial Blvd
Leonard J. Chabert Medical Center Internal Medicine Res
Houma, LA 70363
Phone (985) 873-2710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20241122000306 MI Practitioner - Internal Medicine 8820523251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1501 W Chisholm St
Alpena, MI 49707-1401
Phone (989) 356-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine CurrentSince Sep 15, 2024 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Sep 15, 2024 Accepting new patients
Mymichigan Medical Center Alpena Past Accepting new patients
Hospitalist Medicine Physicians of Michigan-Alpena PLLC Past Accepting new patients

Locations

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Organizations & group practices 4

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 6

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1326619693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 INDUSTRIAL BLVD",
            "address_2": "LEONARD J. CHABERT MEDICAL CENTER INTERNAL MEDICINE RES",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70363",
            "telephone_number": "985-873-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 INDUSTRIAL BLVD",
            "address_2": "LEONARD J. CHABERT MEDICAL CENTER INTERNAL MEDICINE RES",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70363",
            "telephone_number": "985-873-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIKU",
        "first_name": "OLUSOLA",
        "middle_name": "AKINOLA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301511102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.