Eminajulo Adekoya, M.D.
Individual provider Active NPI Urology Physician · Saint Louis, MO
NPI 1497040208 · NPPES record last updated Jul 20, 2021
Key facts
- NPI
- 1497040208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 2021027747 (MO)
- Practice address
- 607 S New Ballas Rd Ste 3100
Saint Louis, MO 63141-8219 - Phone
- (314) 251-8850
- NPI assigned
- Jun 9, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Meharry Medical College School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic Springfield Communities
Mercy Clinic Urology LLC
Practice addresses (Care Compare)
1965 S Fremont Ave
370 MC Urology S Fremont
Springfield, MO 65804-2284
Phone (417) 820-0300
607 S New Ballas Rd
Suite 3100
St Louis, MO 63141-8219
Phone (314) 251-8850
Hospital & facility affiliations
- Mercy Hospital St Louis
- Mercy Hospital Washington
- Mercy Hospital South
- Mercy Hospital Springfield
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210721001582 | MO | Practitioner - Urology | 1557654779 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current |
Accepting new patients | |
| Mercy Clinic Urology LLC | Urology | Current |
Accepting new patients |
| Mercy Clinic Springfield Communities | Current |
Accepting new patients | |
| Mercy Clinic-Springfield Communities | Current |
Accepting new patients |
Locations
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
607 S New Ballas Rd
Ste 3100
Saint Louis, MO 63141
Phone (314) 251-4260
701 S New Ballas Rd
Ste 330
Saint Louis, MO 63141
Phone (314) 251-8850
1965 S Fremont Ave
Ste 370
Springfield, MO 65804
Phone (417) 820-0300
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Urology Physician | 208800000X | 2021027747 | MO | Yes |
Addresses
Primary practice location
607 S New Ballas Rd Ste 3100
Saint Louis, MO 63141-8219
Mailing address
607 S New Ballas Rd Ste 3100
Saint Louis, MO 63141-8219
Phone (314) 251-8850
Other providers in Saint Louis, MO
- Additional Care Services LLC
- Adds Health Services, LLC
- Oluwafunmilayo Beverly Adebayo-Adonis
- Oluwatoyin Olufunke Adegboyega
- Adebisi Adeyemi Adejola
- Muyibat A Adelani
- Adele'S Angels LLC
- Oluwaseyi Adeleye
- Sopefoluwa Omotinuola Adeleye
- Adella Consumer Directed Services, LLC
All providers in Saint Louis, MO · Urology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.