Ademuyiwa Adekola Adetunji, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

01264 Issued in MD

Practice address

1450 Mercantile LN
Ste 151
Upper Marlboro, MD 20774-5376

Phone

(301) 386-5453

Fax

(301) 386-5396

NPI assigned

Nov 30, 2005

Last updated

May 10, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.99 of 100Reported as individual

Quality

60.35

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11195/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/AHHIBD/Endpoint/AHHIBD

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.

• Largo Foot & Ankle Health Center and Ambulatory Surgical Center,Inc'

  dba Ade adetunji

  • Foot & Ankle Surgery Podiatrist
  • Upper Marlboro, MD
  • NPI 1962596031

  DC, Primary Podiatric Medicine

  Medicare reassignment NPD Authorized official
• Cignet Health Uplift Medical

  • Multi-Specialty Clinic/Center
  • Temple Hills, MD
  • NPI 1053475749
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1487638854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 265",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207590265",
            "telephone_number": "301-386-5453",
            "fax_number": "301-386-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MERCANTILE LN",
            "address_2": "STE 151",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745376",
            "telephone_number": "301-386-5453",
            "fax_number": "301-386-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADETUNJI",
        "first_name": "ADEMUYIWA",
        "middle_name": "ADEKOLA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MD",
            "license": "01264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319906101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oluwadamilola Ademiluyi
• Oluwafemi Adenekan
• Felicia Adeola
• Julie Kikelomo Adeoye, NP-C
• Temitope Hannah Adetola
• Olubunmi Adeyemi
• Oluwatoni Adeyemo
• Omobolaji Adeyeri
• Oluwabusayo A Adisa
• Priscilla Adjei-Baffour, PHARM.D

• Primary Podiatric Medicine Podiatrist in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Primary Podiatric Medicine Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.