Active NPI
Ovayoza I Adeleye, MD
- Psychiatry Physician
- Natchitoches, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 201133
- Practice address
- 117 South Dr
Natchitoches, LA 71457-5039 - Phone
- (318) 356-7211
- Fax
- (318) 356-7226
- NPI assigned
- Nov 2, 2005
- Last updated
- Aug 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 201133 | LA | |
| Psychiatry Physician | 2084P0800X | 201133 | LA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 201133 | LA |
Addresses
Primary practice location
117 South Dr
Natchitoches, LA 71457-5039
Mailing address
405 Bienville St
Natchitoches, LA 71457-5748
Phone (318) 356-7211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008206 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12763 Lay St
Gilliam, LA 71029-0001
Phone (318) 227-3350
1514 Doctors Dr
Bossier City, LA 71111-3379
Phone (318) 549-2500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201133 | LA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brentwood Acquisition-Shreveport Inc. | Psychiatry | Current | Accepting new patients |
| David Raines Community Health Center, Inc | Current | Accepting new patients | |
| David Raines Community Health Center, Inc | Current | Accepting new patients | |
| Brentwood Acquisition-Shreveport Inc. | Psychiatry | Current | Accepting new patients |
| Compass Mental Health MD, LLC | Current | Accepting new patients | |
| Shalom Clinic for Children Apmc | Pediatrics | Current | Accepting new patients |
| David Raines Community Health Center, Inc | Current | Accepting new patients | |
| David Raines Community Health Center, Inc | Past | Accepting new patients | |
| Portage Path Behavioral Health | Past | Accepting new patients | |
| David Raines Community Health Center, Inc. | Past | Accepting new patients |
Locations
6410 Masonic Dr
Alexandria, LA 71301
Phone (318) 442-3163
1514 Doctors Dr
Bossier City, LA 71111
Phone (318) 549-2500
2401 Old Minden Rd
Bossier City, LA 71112
Phone (318) 723-7242
777 Bearkat Dr
Bossier City, LA 71111
Phone (318) 723-7242
12763 Lay St
Gilliam, LA 71029
Phone 31822733503170
1953 Main St
Haynesville, LA 71038
Phone (318) 227-3350
12201 Mansfield Rd
Keithville, LA 71047
Phone (318) 364-2742
128 Homer Rd
Minden, LA 71055
Phone (318) 377-1545
117 South Dr
Natchitoches, LA 71457
Phone (318) 356-7211
405 Bienville St
Natchitoches, LA 71457
Phone (318) 356-7211
1006 Highland Ave
Shreveport, LA 71101
Phone (318) 222-6226
1625 David Raines Rd
Shreveport, LA 71107
Phone (318) 425-2252
3021 W 70th St
Shreveport, LA 71108
Phone (318) 227-3350
3041 Dr Martin Luther King Dr
Shreveport, LA 71107
Phone (318) 227-3350
3222 Greenwood Rd
Shreveport, LA 71109
Phone (318) 364-5170
351 Hearne Ave
Shreveport, LA 71103
Phone (318) 425-8742
401 W 70th St
Shreveport, LA 71106
Phone (318) 227-3350
4331 Henry St
Shreveport, LA 71109
Phone (318) 364-2300
441 Atlantic Ave
Shreveport, LA 71105
Phone (318) 393-7019
5904 W 70th St
Shreveport, LA 71129
Phone (318) 364-1750
7340 Wyngate Blvd
Shreveport, LA 71106
Phone (318) 687-4812
7611 Saint Vincent Ave
Shreveport, LA 71106
Phone (318) 861-1671
9360 Woolworth Rd
Shreveport, LA 71129
Phone (318) 227-3350
Interoperability endpoints
- ovayoza.adeleye@direct.la-hie.org
- ovayoza.adeleyemd.p1@direct.davidraineschc.nextgenshare.com
Organizations & group practices 11
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.
-
- Federally Qualified Health Center (FQHC)
- Shreveport, LA
- NPI 1215933254
-
dba Brentwood Hospital
- Psychiatry Physician
- Shreveport, LA
- NPI 1164725701
-
dba Compass Mental Health
- Psychiatric/Mental Health Clinical Nurse Specialist
- Crowley, LA
- NPI 1467779611
-
dba Behavioral Health Services @Shalom Clinic for Children APMC
- Child & Adolescent Psychiatry Physician
- Natchitoches, LA
- NPI 1356957518
-
dba Brentwood Hospital
- Psychiatric Hospital
- Shreveport, LA
- NPI 1417979204
Psychiatry
-
dba David Raines Community Health Center- Mobile Medical Unit #3
- Federally Qualified Health Center (FQHC)
- Shreveport, LA
- NPI 1205721487
-
- Federally Qualified Health Center (FQHC)
- Haynesville, LA
- NPI 1912903964
-
- Pediatrics Physician
- Natchitoches, LA
- NPI 1760545867
-
dba David Raines School Based Health Center- Rusheon Middle School
- Federally Qualified Health Center (FQHC)
- Bossier City, LA
- NPI 1326883091
-
dba David Raines School Based Health Center-Walnut Hill
- Federally Qualified Health Center (FQHC)
- Shreveport, LA
- NPI 1982379335
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Akron, OH
- NPI 1881643633
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba VitalCaring Group
- Home Health Agency
- Bossier City, LA
- NPI 1720164957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1538150263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 BIENVILLE ST",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714575748",
"telephone_number": "318-356-7211",
"fax_number": "318-356-7226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 SOUTH DR",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714575039",
"telephone_number": "318-356-7211",
"fax_number": "318-356-7226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADELEYE",
"first_name": "OVAYOZA",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "201133",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "201133",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "LA",
"license": "201133",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008206",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Natchitoches, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.