Individual provider Active NPI

Samuel Gbadeyan Adeoye

  • Critical Care Medicine (Internal Medicine) Physician
  • Houston, TX
National Provider Identifier
1366356685
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
1050465 Issued in TX
Practice address
205 Hollow Tree LN
Houston, TX 77090-2801
Phone
(346) 839-1420
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1050465 TX
Adult Health Nurse Practitioner 363LA2200X 1050465 TX
Critical Care Medicine Nurse Practitioner 363LC0200X 1050465 TX
Gerontology Nurse Practitioner 363LG0600X 1050465 TX
Personal Emergency Response Attendant 146D00000X 1050465 TX
Critical Care Medicine Registered Nurse 163WC0200X 1050465 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 1050465 TX Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 1050465 TX
Gastroenterology Physician 207RG0100X 1050465 TX
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 1050465 TX
Infectious Disease Physician 207RI0200X 1050465 TX
Pulmonary Disease Physician 207RP1001X 1050465 TX
Surgical Critical Care Physician 2086S0102X 1050465 TX
Pain Medicine Physician 208VP0000X 1050465 TX
Hypertension Specialist Physician 207RH0005X 1050465 TX

Addresses

Primary practice location

205 Hollow Tree LN
Houston, TX 77090-2801

Mailing address

29210 Dalea CT
Katy, TX 77494-6063
Phone (713) 938-1598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1366356685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29210 DALEA CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946063",
            "telephone_number": "713-938-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HOLLOW TREE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902801",
            "telephone_number": "346-839-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEOYE",
        "first_name": "SAMUEL",
        "middle_name": "GBADEYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1050465",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1050465",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "1050465",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1050465",
            "primary": false
        },
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "TX",
            "license": "1050465",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "1050465",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "1050465",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "1050465",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "1050465",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "1050465",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "1050465",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "1050465",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "1050465",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "1050465",
            "primary": false
        },
        {
            "code": "207RH0005X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hypertension Specialist",
            "state": "TX",
            "license": "1050465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.