Individual provider Active NPI

Raymond T Adedapo, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1386823995
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N4879 Issued in TX
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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 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

IdentifierTypeStateIssuer
2171266-02MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100609000793 TX Practitioner - Family PracticePractitioner - Emergency Medicine 6406986983 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Em Alliance Texas PLLCGroup PAC ID 4587192430, 88 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC CurrentSince Oct 4, 2024 Accepting new patients
Ess of South Texas LLC CurrentSince May 10, 2015 Accepting new patients
Lake Granbury Hospital-Based Professional Services CurrentSince Jul 17, 2024 Accepting new patients
Texas Emergency Group LLC CurrentSince Jul 29, 2022 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Oct 1, 2020 Accepting new patients
Em Alliance Texas, PLLC CurrentSince Dec 6, 2024 Accepting new patients
Ess of Port Lavaca LLC CurrentSince Aug 30, 2019 Accepting new patients
Emergency Hospital Systems LLC CurrentSince Jun 8, 2017 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.