NPIMap

Individual provider Active NPI

Kolawale Adedeji Oshiyoye, M.D.

  • Urgent Care Clinic/Center
  • Martinsburg, WV
National Provider Identifier
1427362383
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
25370 Issued in WV
Practice address
2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone
(304) 264-1000
NPI assigned
Aug 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09179900 NJ
Family Medicine Physician 207Q00000X MD448069 PA
Family Medicine Physician 207Q00000X 25370 WV
Urgent Care Clinic/Center 261QU0200X 25370 WV Primary

Addresses

Primary practice location

2500 Hospital Dr
Martinsburg, WV 25401-3402

Mailing address

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000

Other practice location 1

202 Foxcroft Ave
Martinsburg, WV 25401-5312
Phone (304) 350-1087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131028000996 WV Practitioner - HospitalistPractitioner - Family Practice 4284883737 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apple Valley Family Medicine and Urgent CareGroup PAC ID 2769777085, 2 clinicians
City Hospital IncGroup PAC ID 3375444524, 155 clinicians

Practice addresses (Care Compare)

202 Foxcroft Ave
Martinsburg, WV 25401-5312
Phone (304) 215-1247

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 260-1443

Hospital & facility affiliations

  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
  • Jefferson Medical Center Hospital, Ranson, WV, CCN 511319
  • Grant Memorial Hospital Hospital, Petersburg, WV, CCN 511316
  • Potomac Valley Hospital Hospital, Keyser, WV, CCN 511315
  • Garrett Regional Medical Center Hospital, Oakland, MD, CCN 210017
  • Willow Tree Healthcare Center Nursing home, Charles Town, WV, CCN 515156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD448069PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Hospital, Inc. Family Medicine CurrentSince Nov 19, 2024 Accepting new patients
City Hospital Inc Current Accepting new patients
Hospitalist Medicine Physicians of West Virginia- TCG PLLC CurrentSince Oct 15, 2022 Accepting new patients
Apple Valley Family Medicine and Urgent Care Family Medicine CurrentSince May 9, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
City Hospital, Inc Past Accepting new patients
Blue Ridge Nursing, LLC Past Accepting new patients

Locations

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

202 Foxcroft Ave
Martinsburg, WV 25401
Phone (304) 215-1247

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

7595 Martinsburg Pike
Shepherdstown, WV 25443
Phone (304) 907-2191

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Interoperability endpoints

  • Direct secure messaging: koshiyoye26348@direct.wvuhsdirect.com
  • Direct secure messaging: applevalleyfamilymedicineandurgentcareinc.kolawaleoshiyoye@162344.advancedmd-direct.com

Organizations & group practices 8

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

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": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1427362383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013402",
            "telephone_number": "304-264-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013402",
            "telephone_number": "304-264-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Foxcroft Ave",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254015312",
            "country_code": "US",
            "telephone_number": "304-350-1087",
            "fax_number": "304-350-1087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSHIYOYE",
        "first_name": "KOLAWALE",
        "middle_name": "ADEDEJI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09179900",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD448069",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "25370",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "WV",
            "license": "25370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.