Active NPI
Raymond T Adedapo, MD
- Family Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N4879
- Practice address
- 12805 Cullen Blvd
Building B Suite E
Houston, TX 77047-3759 - Phone
- (281) 397-3799
- Fax
- (281) 397-3798
- NPI assigned
- Oct 31, 2007
- Last updated
- Feb 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N4879 | TX | Primary |
Addresses
Primary practice location
12805 Cullen Blvd
Building B Suite E
Houston, TX 77047-3759
Mailing address
12805 Cullen Blvd
Building B Suite E
Houston, TX 77047-3759
Phone (281) 397-3799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2171266-02 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 S Coulter St
NW TX Healthcare Sys
Amarillo, TX 79106-1770
Phone (561) 203-0611
44 N Cummings St
Bellville, TX 77418-1347
Phone (979) 413-7400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 43.55 of 100
- Quality
- 7.63
- Improvement activities
- 40
- Cost
- 81.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of TX, PLLC | Current | Accepting new patients | |
| Ess of South Texas LLC | Current | Accepting new patients | |
| Lake Granbury Hospital-Based Professional Services | Current | Accepting new patients | |
| Texas Emergency Group LLC | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Em Alliance Texas, PLLC | Current | Accepting new patients | |
| Ess of Port Lavaca LLC | Current | Accepting new patients | |
| Emergency Hospital Systems LLC | Current | Accepting new patients | |
| Texas Emergency Room Services , PA | Past | Accepting new patients | |
| Dynamic Counseling Services LLC | Past | Accepting new patients |
Locations
1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150
4121 S Georgia St
Amarillo, TX 79110
Phone (561) 203-0611
4207 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 351-7850
8960 Hillside Rd
Amarillo, TX 79119
Phone (806) 351-6987
44 N Cummings St
Bellville, TX 77418
Phone (979) 413-7400
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
1017 S Travis Ave
Cleveland, TX 77327
Phone (281) 592-5400
13725 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-4243
1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862
2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273
540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141
8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338
Phone (281) 592-5400
821 Jeffee Dr
Kermit, TX 79745
Phone (432) 586-2040
1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316
1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611
608 Strickland Dr
Orange, TX 77630
Phone (409) 883-1248
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Amarillo, TX
- NPI 1902621329
-
dba Cleveland Emergency Hospital
- General Acute Care Hospital
- Cleveland, TX
- NPI 1992172019
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
-
- Emergency Medicine Physician
- Port Lavaca, TX
- NPI 1922546936
-
- Emergency Medicine Physician
- Liberty, TX
- NPI 1295128247
-
- Emergency Medicine Physician
- Granbury, TX
- NPI 1689443467
-
- Emergency Medicine Physician
- Cuero, TX
- NPI 1699288811
-
- Emergency Medicine Physician
- Corpus Christi, TX
- NPI 1275088452
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1154636306
-
- Mental Health Counselor
- Rosharon, TX
- NPI 1659683399
-
- Emergency Medicine Physician
- Orange, TX
- NPI 1306894092
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Port Lavaca, TX
- NPI 1689630865
-
dba Northwest Texas Healthcare System
- General Acute Care Hospital
- Amarillo, TX
- NPI 1467442418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1386823995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12805 CULLEN BLVD",
"address_2": "BUILDING B SUITE E",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770473759",
"telephone_number": "281-397-3799",
"fax_number": "409-283-2643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12805 CULLEN BLVD",
"address_2": "BUILDING B SUITE E",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770473759",
"telephone_number": "281-397-3799",
"fax_number": "281-397-3798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEDAPO",
"first_name": "RAYMOND",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-31",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N4879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2171266-02",
"state": "TX"
}
],
"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 Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.