Individual provider Active NPI

Adebukola O Abiola, M.D.

  • Family Medicine Physician
  • Buffalo, NY
National Provider Identifier
1386794394
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
225100 Issued in NY
Practice address
425 Michigan Ave
Buffalo, NY 14203-2209
Phone
(716) 848-2123
Fax
(716) 848-2125
NPI assigned
Jan 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 225100 NY Primary

Addresses

Primary practice location

425 Michigan Ave
Buffalo, NY 14203-2209

Mailing address

267 Londonderry LN
Getzville, NY 14068-1182
Phone (716) 636-0255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 25, 2013 through Feb 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
000645NYMDAcupuncturist
225100NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TJH Medical Services, P.C. Family Medicine Past Accepting new patients
JHMC Diagnostic and Treatment Center Family Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386794394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 LONDONDERRY LN",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681182",
            "telephone_number": "716-636-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MICHIGAN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032209",
            "telephone_number": "716-848-2123",
            "fax_number": "716-848-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIOLA",
        "first_name": "ADEBUKOLA",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "225100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.