Active NPI
Olanrewaju M Adeyiga, MD
- Obstetrics & Gynecology Physician
- Washington, DC
National Provider Identifier
1346345170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD13121
- Practice address
- 2041 Georgia Avenue, NW
Washington, DC 20060 - Phone
- (202) 865-4164
- Fax
- (202) 865-7407
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD13121 | DC | Primary |
Addresses
Primary practice location
2041 Georgia Avenue, NW
Washington, DC 20060
Mailing address
2024 Georgia Avenue, NW
Washington, DC 20001
Phone (202) 595-3223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6217109 | Medicaid | VA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD13121 | DC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard University | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Washington, DC
- NPI 1033163597
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186099200000",
"number": "1346345170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 GEORGIA AVENUE, NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20001",
"telephone_number": "202-595-3223",
"fax_number": "202-332-2985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 GEORGIA AVENUE, NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20060",
"telephone_number": "202-865-4164",
"fax_number": "202-865-7407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEYIGA",
"first_name": "OLANREWAJU",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "DC",
"license": "MD13121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6217109",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.