Individual provider Active NPI

Abiodun Joseph Abioye, M.D

  • Internal Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1508500414
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
V7174 Issued in TX
Practice address
7301 Rogers Ave
Mercy Fort Smith
Fort Smith, AR 72903-4100
Phone
(479) 314-6000
Fax
(479) 314-4705
NPI assigned
Apr 26, 2022
Reactivated
Feb 8, 2023
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X V7174 TX Primary
Hospitalist Physician 208M00000X V7174 TX

Addresses

Primary practice location

7301 Rogers Ave
Mercy Fort Smith
Fort Smith, AR 72903-4100

Mailing address

7301 Rogers Ave
Mercy Fort Smith Attn Gme Department
Fort Smith, AR 72903-4100
Phone (479) 314-6000

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709004573 TX Practitioner - Internal Medicine 1052825130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hni Medical ServicesGroup PAC ID 6406028810, 35 clinicians

Practice addresses (Care Compare)

512 Victoria LN
Suite 12
Harlingen, TX 78550-3228
Phone (956) 440-6300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V7174TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services Internal Medicine CurrentSince Jul 15, 2025 Accepting new patients
Columbia Valley Healthcare System, L.P. Past Accepting new patients

Locations

100 E Alton Gloor Blvd
#A
Brownsville, TX 78526
Phone (956) 350-7000

512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322

Organizations & group practices 2

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 1

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": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1508500414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AVE",
            "address_2": "MERCY FORT SMITH ATTN GME DEPARTMENT",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034100",
            "telephone_number": "479-314-6000",
            "fax_number": "479-314-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AVE",
            "address_2": "MERCY FORT SMITH",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034100",
            "telephone_number": "479-314-6000",
            "fax_number": "479-314-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIOYE",
        "first_name": "ABIODUN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "deactivation_date": "2023-01-30",
        "reactivation_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V7174",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "V7174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.