Abiola Dianne Adisa-Obayan, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

AA062397 Issued in MI

Practice address

26333 Southfield Rd Ste 103
Lathrup Village, MI 48076-4574

Phone

(248) 331-1900

NPI assigned

Dec 14, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Abiola Dianne Obayan Professional name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anew Regenerative Medicine Specialists, PLLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Farmington Hills, MI
  • NPI 1871446286
  NPD Authorized official
• Pain and Rehabilitation Physicians. P.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lathrup Village, MI
  • NPI 1356536064
  Medicare reassignment

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437211828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26333 SOUTHFIELD RD STE 103",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764574",
            "telephone_number": "248-331-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26333 SOUTHFIELD RD STE 103",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764574",
            "telephone_number": "248-331-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADISA-OBAYAN",
        "first_name": "ABIOLA",
        "middle_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MI",
            "license": "AA062397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIOLA",
            "last_name": "OBAYAN",
            "middle_name": "DIANNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• A/R Rehab Services, Inc
• Alyssa Abdal, PA-C
• Adult & Family Counseling Services, LLC
• Affordable Dental Care PLLC
• Afzal Beemath MD PC
• Aim Lathrup Village L.L.C
• Allied Rehab Services, Inc

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.