Adetunji Olatunji Aderemi, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA06682 Issued in TX

Practice address

6974 Gateway Blvd E
Suite F
El Paso, TX 79915

Phone

(915) 774-8850

Fax

(915) 598-3946

NPI assigned

Mar 17, 2009

Last updated

Jul 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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 Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment
• Emergency Services of Texas PA

  • Emergency Medicine Physician
  • Orange, TX
  • NPI 1174932131
  Medicare reassignment
• Pearsall Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Horizon City, TX
  • NPI 1104326263
  Medicare reassignment

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1437390614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6974 GATEWAY BLVD E",
            "address_2": "SUITE F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79915",
            "telephone_number": "915-774-8850",
            "fax_number": "915-598-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEREMI",
        "first_name": "ADETUNJI",
        "middle_name": "OLATUNJI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-17",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003876",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39376214",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313608701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Adcock
• Adekunle Adedayo Adedeji, M.D.
• Naomi Mutheu-Makau Adek, RDN
• Ademola Olukayode Adeniji, PT, DPT
• Olufemi Adeniji, COTA
• Elli Adjei, RRT
• Adl Care at Home Inc. (Global Hospice Care)
• Adl Care at Home Inc. (Global Hospice Care)
• Adam Adler, M.D.
• Adobe Homecare, Inc

• Physician Assistant in El Paso, TX
• Providers in El Paso, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.