Individual provider Active NPI

Abiola Taju Akinboboye, FNP

  • Family Nurse Practitioner
  • Woonsocket, RI
National Provider Identifier
1558804658
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2281007 Issued in MA
Practice address
1054 Cass Ave
Woonsocket, RI 02895-4935
Phone
(866) 389-2727
NPI assigned
Nov 22, 2016
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2281007 MA Primary

Addresses

Primary practice location

1054 Cass Ave
Woonsocket, RI 02895-4935

Mailing address

35 Sheldonville Rd
North Attleboro, MA 02760-6255

Other names 1

  • Mr. Abiola Taju Akinboboye Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170214000244 MA Practitioner - Nurse Practitioner 0749563914 Reassigns benefits to 4 organizations
I20190108001186 RI Practitioner - Nurse Practitioner 0749563914 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians
Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians

Practice addresses (Care Compare)

100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555
Phone (888) 964-6681

135 Dodge St
Providence, RI 02907-2210
Phone (888) 964-6681

156 Greeley St
Providence, RI 02904-1265
Phone (401) 219-9525

30 Man Mar Dr
Suite 10
Plainville, MA 02762-2271
Phone (401) 219-9525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.9 of 100Reported as group
Quality
82.55
Improvement activities
40
Cost
84.99

Merit-based Incentive Payment System (MIPS)

Final score
83.48 of 100Reported as group
Quality
75.93
Improvement activities
40
Cost
89.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HDC Care Solutions, LLC Family CurrentSince May 1, 2022 Accepting new patients
Value Based Long Term Care H PC CurrentSince May 10, 2025 Accepting new patients
Nully Medical CurrentSince Jun 5, 2022 Accepting new patients
Healthdrive Medical Services Southeast LLC Family CurrentSince Aug 1, 2025 Accepting new patients
Nully Medical LLC Family CurrentSince Mar 1, 2022 Accepting new patients
Carnabuci Chiropractic PC PastSince Sep 18, 2017 Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

30 Man Mar Dr
Ste 10
Plainville, MA 02762
Phone (401) 219-9525

135 Dodge St
Providence, RI 02907
Phone (401) 383-5150

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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 2

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": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1558804658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SHELDONVILLE RD",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027606255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 CASS AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954935",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINBOBOYE",
        "first_name": "ABIOLA",
        "middle_name": "TAJU",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-22",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2281007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIOLA",
            "last_name": "AKINBOBOYE",
            "middle_name": "TAJU",
            "prefix": "MR.",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.