Active NPI
Ifeyemi Odeyemi, MD
- Internal Medicine Physician
- High Point, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036124739
- Practice address
- 1701 Westchester Drive
Suite 850
High Point, NC 27262-7254 - Phone
- (336) 802-2145
- Fax
- (336) 802-2146
- NPI assigned
- Aug 1, 2008
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036124739 | IL | Primary |
Addresses
Primary practice location
1701 Westchester Drive
Suite 850
High Point, NC 27262-7254
Mailing address
1701 Westchester Drive
Suite 850
High Point, NC 27262-7254
Phone (336) 802-2440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5915192 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Texas Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Bexar Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Gulf Coast Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Jefferson Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| South Texas Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Cornerstone Health Care PA | Past | Accepting new patients | |
| Baylor All Saints Medical Center | Past | Accepting new patients |
Locations
595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866
29373 Network Pl
Chicago, IL 60673
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951
1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661
323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111
8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214
2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955
11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066
1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979
Interoperability endpoints
- iodeyemi853936@direct.sw.org
- iodeyemi503892@christushealth.direct-ci.net
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1730960998
-
- Internal Medicine Physician
- Corpus Christi, TX
- NPI 1922889187
-
- Internal Medicine Physician
- Beaumont, TX
- NPI 1598546764
-
- Internal Medicine Physician
- Longview, TX
- NPI 1992586150
-
- Internal Medicine Physician
- New Braunfels, TX
- NPI 1598546772
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Colleyville, TX
- NPI 1235135906
Internal Medicine
-
- Cardiovascular Disease Physician
- Statesville, NC
- NPI 1275914046
-
dba Baylor Scott & White All Saints Medical Center - Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1669472387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1568628246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 WESTCHESTER DRIVE",
"address_2": "SUITE 850",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272627254",
"telephone_number": "336-802-2440",
"fax_number": "336-802-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 WESTCHESTER DRIVE",
"address_2": "SUITE 850",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272627254",
"telephone_number": "336-802-2145",
"fax_number": "336-802-2146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODEYEMI",
"first_name": "IFEYEMI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-01",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036124739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5915192",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
- Thomas M O'Meara, MD
- Allison Paige O'Neill, PA-C
- Oak Hollow Chiropractic (Oak Hollow Spinal Center)
- Oakwood Community Development Corporation
- Oasis Medical Transportation LLC
- Julia A Oerman, RN
- Michael Monroe Ogden, M.D.
- Olufunso Mercy Ogunjobi, PMHNP-BC
- Moradeke Omolola Ojo, DNP, PMHNP-BC
- Victoria Okafor
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.