Individual provider Active NPI

Taiwo Babatunde Adedipe, M.D

  • Family Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1407207806
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RS2016-0468 Issued in NM
Practice address
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone
(575) 521-5385
NPI assigned
Jun 27, 2016
Last updated
Apr 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34534 OK
Family Medicine Physician 207Q00000X RS2016-0468 NM Primary

Addresses

Primary practice location

2450 S Telshor Blvd
Las Cruces, NM 88011-5069

Mailing address

2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (575) 521-5385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20190828002445 OK Practitioner - Family Practice 2466780481 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Physicians LLCGroup PAC ID 1153794813, 62 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

1111 N Lee Ave
Suite 305
Oklahoma City, OK 73103-2620
Phone (405) 272-4978

3400 NW Expressway
Suite 500
Oklahoma City, OK 73112-4492
Phone (405) 945-4589

4401 S Western
Wound Care Clinic
Oklahoma City, OK 73109-3413
Phone (405) 636-7000

4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone (405) 636-7000

4421 S Western Ave
Suite 1030
Oklahoma City, OK 73109-3413
Phone (405) 644-5398

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RS2016-0468NMMDFamily Medicine Physician
34534OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Hospital Medicine Associates PC CurrentSince Aug 1, 2019 Accepting new patients
Midwest Hospitalist Group PLLC CurrentSince Apr 1, 2020 Accepting new patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Jun 1, 2020 Accepting new patients
Ou Health Partners, Inc CurrentSince Sep 18, 2023 Accepting new patients
Ou Health Partners, Inc CurrentSince Sep 18, 2023 Accepting new patients
Metro Physicians LLC CurrentSince Mar 12, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Integris Ambulatory Care Corporation Family Medicine CurrentSince Dec 3, 2024 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Nov 22, 2021 Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients

Locations

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

5200 E I 240 Service Rd
Oklahoma City, OK 73135
Phone (405) 608-6000

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

2401 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 303-4000

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Organizations & group practices 10

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 9

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1407207806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115069",
            "telephone_number": "575-521-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115069",
            "telephone_number": "575-521-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEDIPE",
        "first_name": "TAIWO",
        "middle_name": "BABATUNDE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "34534",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "RS2016-0468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.