Individual provider Active NPI

Ovayoza I Adeleye, MD

  • Psychiatry Physician
  • Natchitoches, LA
National Provider Identifier
1538150263
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
201133 Issued in LA
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1008206MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070731000454 LA Practitioner - PsychiatryPractitioner - Pediatric Medicine 2860418761 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Pediatric Medicine
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

LicenseStateTypeSpecialty
201133LAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brentwood Acquisition-Shreveport Inc. Psychiatry Current Accepting new patients
David Raines Community Health Center, Inc CurrentSince Jan 4, 2021 Accepting new patients
David Raines Community Health Center, Inc Current Accepting new patients
Brentwood Acquisition-Shreveport Inc. Psychiatry CurrentSince May 1, 2021 Accepting new patients
Compass Mental Health MD, LLC CurrentSince Oct 13, 2020 Accepting new patients
Shalom Clinic for Children Apmc Pediatrics CurrentSince Jan 1, 2014 Accepting new patients
David Raines Community Health Center, Inc CurrentSince Jan 4, 2021 Accepting new patients
David Raines Community Health Center, Inc PastSince Jun 30, 2024 Accepting new patients
Portage Path Behavioral Health PastSince Sep 25, 2019 Accepting new patients
David Raines Community Health Center, Inc. PastSince Aug 15, 2021 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

  • Direct secure messaging: ovayoza.adeleye@direct.la-hie.org
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.