Active NPI
Adesuwa Inneh, MD
- Student in an Organized Health Care Education/Training Program
- Louisville, KY
National Provider Identifier
1558812669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 530 S Jackson St
Louisville, KY 40202-1675 - Phone
- (502) 588-4740
- NPI assigned
- Oct 24, 2016
- Last updated
- May 2, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
530 S Jackson St
Louisville, KY 40202-1675
Mailing address
501 E Broadway Ste 270
Louisville, KY 40202-2040
Phone (502) 588-4740
Other practice location 1
401 E Chestnut St Unit 520
Louisville, KY 40202-5713
Phone (502) 588-4740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250918000835 | KY | Order and Referring Only - Urology | 2466732656 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1558812669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E BROADWAY STE 270",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022040",
"telephone_number": "502-588-4740",
"fax_number": "502-588-9537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 S JACKSON ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021675",
"telephone_number": "502-588-4740"
}
],
"practiceLocations": [
{
"address_1": "401 E Chestnut St Unit 520",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402025713",
"country_code": "US",
"telephone_number": "502-588-4740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INNEH",
"first_name": "ADESUWA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-24",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- Injury-Care Associates and Chiropractic Center of Ky LLC
- Lockie C Inlow, MAMFT
- Ryan Cooper Inman, D.C.
- Susan Michele Inman, CRT
- Innate Chiropractic, PLLC
- Inner Peace Therapeutic Services, LLC
- Innovage Kentucky Pace- Louisville, LLC
- Innovations Therapeutic Services of Kentucky, LLC
- Innovative Family Therapy
- Innovative Therapy Services Inc. (The Therapy Place)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.