Adeniyi Faruk Koiki, M.D.
Individual provider Active NPI Emergency Medicine Physician · Moulton, AL
NPI 1366480774 · NPPES record last updated Oct 13, 2011
Key facts
- NPI
- 1366480774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 00020062 (AL)
- Practice address
- 202 Hospital St
Moulton, AL 35650-1218 - Phone
- (205) 974-2200
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Morehouse School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Relias Emergency Medicine Specialists of Hamilton, LLC
Practice addresses (Care Compare)
1256 Military St S
Hamilton, AL 35570-5003
Phone (205) 921-6200
Hospital & facility affiliations
- Marion Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050504001027 | AL | Practitioner - Emergency Medicine |
4385684851 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00020062 | AL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center | Current | Accepting new patients | |
| Correct Care, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Alabama Em I Medical Services PC | Emergency Medicine | Current |
Accepting new patients |
| Marion Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Relias Emergency Medicine Specialists of Hamilton, LLC | Emergency Medicine | Current |
Accepting new patients |
| Marion Regional Medical Center, Inc | Current |
Accepting new patients | |
| Alabama Em-I Medical Services PC | Emergency Medicine | Current |
Accepting new patients |
| Southern Medical Group, Inc | Emergency Medicine | Past | Accepting new patients |
| Fayette Medical Center | Past | Accepting new patients |
Locations
1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200
1336 Military St S
Hamilton, AL 35570
Phone (205) 921-0521
201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600
1032 Main St S
Wedowee, AL 36278
Phone (256) 357-2111
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600
Interoperability endpoints
- adeniyikoiki@nmhs.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 00020062 | AL | Yes |
Addresses
Primary practice location
202 Hospital St
Moulton, AL 35650-1218
Mailing address
5323 Dixieland Rd
Irondale, AL 35210-2914
Phone (205) 915-9451
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009987875 | Medicaid | AL | |
| 51001137KOI | Other | AL | BLUE SHIELD |
Other providers in Moulton, AL
- Michael Hunter Jones
- Miranda L Jordan
- Tammy Keenum
- Brett Lee Kelley
- Kari Kirby
- Rebecca Lackey
- Lakeshore Pediatrics PC
- Lakeshore Pediatrics PC
- Lawrence County
- Lawrence County E.M.S., Inc.
All providers in Moulton, AL · Emergency Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.