NPIMap

Individual provider Active NPI

Oladipo A Adeniyi, MD

  • Nephrology Physician
  • Gallup, NM
National Provider Identifier
1497733810
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2002-0397 Issued in NM
Practice address
1801 Redrock Dr
Gallup, NM 87301-5655
Phone
(505) 863-7993
Fax
(505) 863-9406
NPI assigned
Jan 5, 2006
Last updated
Jan 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 2002-0397 NM Primary

Addresses

Primary practice location

1801 Redrock Dr
Gallup, NM 87301-5655

Mailing address

1801 Redrock Dr
Gallup, NM 87301-5655
Phone (505) 863-7993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20040526001641 NM Practitioner - Nephrology 5799766630 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Desert Nephrology Associates PLLCGroup PAC ID 5092877696, 7 clinicians
Rehoboth McKinley Christian Health Care Services, Inc.Group PAC ID 1759293855, shared by 3 NPIs, 31 clinicians

Practice addresses (Care Compare)

1551 S 2ND St
Gallup, NM 87301-5881
Phone (505) 863-7993

1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 863-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002-0397NMMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Nephrology Associates PLLC Nephrology CurrentSince Sep 1, 2008 Accepting new patients
Renal Medicine Associates LTD. CurrentSince Jan 9, 2025 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince May 4, 2023 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince May 4, 2023 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients
Cibola General Hospital Corporation Nephrology CurrentSince Sep 1, 2024 Accepting new patients
Red Rocks Dialysis, LLC PastSince Jul 1, 2020 Accepting new patients

Locations

3821 Masthead St NE
Albuquerque, NM 87109
Phone (505) 998-7400

1551 S Second St
Gallup, NM 87301
Phone (505) 542-0090

1801 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7933

1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 726-6875

2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

313 W Country Club Rd
Ste 12
Roswell, NM 88201
Phone (505) 627-5828

Interoperability endpoints

  • Direct secure messaging: oadeniyi72390@direct.acumenmd.com

Organizations & group practices 7

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1497733810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 REDROCK DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015655",
            "telephone_number": "505-863-7993",
            "fax_number": "505-863-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 REDROCK DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015655",
            "telephone_number": "505-863-7993",
            "fax_number": "505-863-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENIYI",
        "first_name": "OLADIPO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "2002-0397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

Verify at the official NPI Registry.