Individual provider Active NPI

Adenrele Abiola Olaosun, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1356634877
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P8709 Issued in TX
Practice address
7710 Beechnut St Ste 230
Houston, TX 77074
Phone
(713) 773-1222
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P8709 TX Primary

Addresses

Primary practice location

7710 Beechnut St Ste 230
Houston, TX 77074

Mailing address

7710 Beechnut St Ste 230
Houston, TX 77074-3107
Phone (713) 773-1222

Other practice location 1

8780 Highway 6
Ste A
Missouri City, TX 77459-7113
Phone (281) 778-1770

Other names 1

  • Adenrele Abiola Aderibigbe Former name

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
P8709TXMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1356634877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 BEECHNUT ST STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770743107",
            "telephone_number": "713-773-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 BEECHNUT ST STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "713-773-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8780 Highway 6",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774597113",
            "country_code": "US",
            "telephone_number": "281-778-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLAOSUN",
        "first_name": "ADENRELE",
        "middle_name": "ABIOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P8709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADENRELE",
            "last_name": "ADERIBIGBE",
            "middle_name": "ABIOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.