NPIMap

Individual provider Active NPI

Oluwole Sunday Akisanya, M.D.

  • Internal Medicine Physician
  • Gadsden, AL
National Provider Identifier
1467416941
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20405 Issued in AL
Practice address
311 S 4TH St
Gadsden, AL 35901-5212
Phone
(256) 543-9955
Fax
(256) 543-9351
NPI assigned
Apr 13, 2006
Last updated
Aug 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20405 AL Primary

Addresses

Primary practice location

311 S 4TH St
Gadsden, AL 35901-5212

Mailing address

PO Box 1827
Gadsden, AL 35902-1827
Phone (256) 543-9955

Other identifiers 1

IdentifierTypeStateIssuer
000060841MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080609000007 AL Practitioner - Internal Medicine 3173693785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Care Medical ClinicGroup PAC ID 8123191715, 3 clinicians

Practice addresses (Care Compare)

309 S 4TH St
Gadsden, AL 35901-5212
Phone (256) 543-9955

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Medical Clinic Internal Medicine CurrentSince Jan 3, 2000 Accepting new patients
Gadsden Regional Medical Center LLC Past Accepting new patients
Gadsden HC Operations, LLC Past Accepting new patients
U S Health Care, LLC Past Accepting new patients
Prime Healthcare Services - Gadsden LLC Past Accepting new patients

Locations

309 S 4th St
Gadsden, AL 35901
Phone (256) 543-9955

311 S 4th St
Gadsden, AL 35901
Phone (256) 203-4713

Interoperability endpoints

  • Direct secure messaging: oluwole.akisanya@firstmed.direct.medconnect-inc.com

Organizations & group practices 5

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1467416941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1827",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359021827",
            "telephone_number": "256-543-9955",
            "fax_number": "256-543-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015212",
            "telephone_number": "256-543-9955",
            "fax_number": "256-543-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKISANYA",
        "first_name": "OLUWOLE",
        "middle_name": "SUNDAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "20405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000060841",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.