Individual provider Active NPI

Abiola Olayemi Dele-Michael, MD

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1518084664
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
256271 Issued in NY
Practice address
207 W 115TH St Lowr Level
New York, NY 10026-2965
Phone
(646) 517-8966
NPI assigned
Mar 23, 2007
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 256271 NY Primary

Addresses

Primary practice location

207 W 115TH St Lowr Level
New York, NY 10026-2965

Mailing address

PO Box 1343
New York, NY 10028-0010
Phone (646) 517-8966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130830000459 NY Practitioner - Cardiovascular Disease (Cardiology) 9234273277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Rochester School of Medicine and Dentistry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert J Brown Jr Rpa PCGroup PAC ID 9739551250, 2 clinicians

Practice addresses (Care Compare)

1165 Northern Blvd
Manhasset, NY 11030-3039
Phone (631) 742-0565

207 W 115TH St
Lowr Level
New York, NY 10026-2965
Phone (646) 517-8966

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256271NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abiola Dele-Michael, MD Medicine PLLC Cardiovascular Disease CurrentSince Mar 26, 2015 Accepting new patients
Robert J Brown Jr Rpa PC CurrentSince Nov 2, 2022 Accepting new patients
Radiant Skin Dermatology and Laser,PLLC CurrentSince Mar 12, 2024 Accepting new patients

Locations

1165 Northern Blvd
Manhasset, NY 11030
Phone (516) 627-0303

1165 Northern Blvd
Ste 400
Manhasset, NY 11030
Phone (516) 499-3964

116 Central Park S
Ste 7
New York, NY 10019
Phone (212) 229-0007

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: abiola.dele-michael.1@20447.direct.athenahealth.com
  • Direct secure messaging: abiola.dele-michael@1025660400762884.direct.elationemr.com

Organizations & group practices 3

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 4

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1518084664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280010",
            "telephone_number": "646-517-8966",
            "fax_number": "646-490-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 115TH ST LOWR LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262965",
            "telephone_number": "646-517-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELE-MICHAEL",
        "first_name": "ABIOLA",
        "middle_name": "OLAYEMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "256271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.