Individual provider Active NPI

Ore-Ofeoluwatomi Oluwaseun Adesina, MD

  • Neuro-ophthalmology Physician
  • Houston, TX
National Provider Identifier
1356501522
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
License
P8105 Issued in TX
Practice address
6400 Fannin St
Suite 1800
Houston, TX 77030-1521
Phone
(713) 559-5200
Fax
(713) 795-0733
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X P8105 TX
Neuro-ophthalmology Physician 207WX0109X P8105 TX Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X P8105 TX

Addresses

Primary practice location

6400 Fannin St
Suite 1800
Houston, TX 77030-1521

Mailing address

6400 Fannin St
Suite1800
Houston, TX 77030-1521
Phone (713) 559-5200

Other identifiers 1

IdentifierTypeStateIssuer
329490201MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ore-ofeoluwatomi.o.adesina@uth.tmc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140129001348 TX Practitioner - Ophthalmology 7315193877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 2961732193, 206 clinicians

Practice addresses (Care Compare)

11920 Astoria Blvd
Suite 292
Houston, TX 77089-6155
Phone (713) 486-7970

5656 Kelley St
Houston, TX 77026-1967
Phone (713) 566-5100

6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-4000

Hospital & facility affiliations

  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Harris Health Hospital, Houston, TX, CCN 450289
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

Merit-based Incentive Payment System (MIPS)

Final score
84.63 of 100Reported as group
Quality
68.75
Promoting interoperability
100
Improvement activities
40
Cost
72.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P8105TXMDNeuro-ophthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jun 1, 2021 Accepting new patients

Locations

6400 Fannin St
Ste 1800
Houston, TX 77030
Phone (713) 486-9400

11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970

6411 Fannin St
Fl 7
Houston, TX 77030
Phone (713) 704-1777

6400 Fannin St
Fl 18
Houston, TX 77030
Phone (713) 559-1777

Interoperability endpoints

  • Direct secure messaging: oadesina37064@direct.uth.org

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.

Hospital & facility affiliations 10

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1356501522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST",
            "address_2": "SUITE1800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301521",
            "telephone_number": "713-559-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST",
            "address_2": "SUITE 1800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301521",
            "telephone_number": "713-559-5200",
            "fax_number": "713-795-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADESINA",
        "first_name": "ORE-OFEOLUWATOMI",
        "middle_name": "OLUWASEUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P8105",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "TX",
            "license": "P8105",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "P8105",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329490201",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ore-ofeoluwatomi.o.adesina@uth.tmc.edu",
            "affiliation": "N",
            "address_1": "6400 Fannin St",
            "address_2": "Suite 1800",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770301521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.