Individual provider Active NPI

Oluyemisi Adedoyin Adeyemi-Fowode, M.D

  • Obstetrics & Gynecology Physician
  • Sugar Land, TX
National Provider Identifier
1538426853
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
05605080873 Issued in TX
Practice address
1111 Highway 6 Ste 155
Sugar Land, TX 77478-4913
Phone
(281) 803-8724
Fax
(281) 803-8956
NPI assigned
Apr 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 05605080873 TX Primary

Addresses

Primary practice location

1111 Highway 6 Ste 155
Sugar Land, TX 77478-4913

Mailing address

1111 Highway 6 Ste 155
Sugar Land, TX 77478-4913
Phone (281) 803-8724

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
I20131107000740 TX Practitioner - Obstetrics/Gynecology 7911132592 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05605080873TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pediatric and Adolescent Gynecology, PLLC CurrentSince Feb 1, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Aug 14, 2013 Accepting new patients
Baylor College of Medicine CurrentSince Aug 14, 2013 Accepting new patients
Texas Children's Physician Group CurrentSince Jan 8, 2014 Accepting new patients
Baylor College of Medicine Obstetrics & Gynecology Past Accepting new patients

Locations

6701 Fannin St
Fl 11
Houston, TX 77030
Phone (832) 822-3540

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6701 Fannin St
Ste 1420
Houston, TX 77030
Phone (832) 822-4240

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

1111 Highway 6
Ste 155
Sugar Land, TX 77478
Phone (281) 803-8724

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADEGCD/Endpoint/ADEGCD
  • Direct secure messaging: oluyemisi.adeyemi@tpag.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1538426853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HIGHWAY 6 STE 155",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784913",
            "telephone_number": "281-803-8724",
            "fax_number": "281-803-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HIGHWAY 6 STE 155",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784913",
            "telephone_number": "281-803-8724",
            "fax_number": "281-803-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYEMI-FOWODE",
        "first_name": "OLUYEMISI",
        "middle_name": "ADEDOYIN",
        "name_prefix": "Miss",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "05605080873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.