Adedapo F Okusanya, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

48568020 Issued in WI

Practice address

2500 W Silver Spring Dr
Glendale, WI 53209-4218

Phone

(414) 800-7171

NPI assigned

Apr 18, 2006

Last updated

Jun 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Horizon Home Care and Hospice Home health agency, Milwaukee, WI, CCN 527083
• Holistic Hospice Hospice, Greenfield, WI, CCN 521601

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIEDAD/Endpoint/AIEDAD

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.

• Providence Family Medical Clinic S.C

  • Primary Care Clinic/Center
  • Glendale, WI
  • NPI 1861857542
  Medicare reassignment NPD Authorized official
• North Avenue Family Medical Center

  • Primary Care Clinic/Center
  • Milwaukee, WI
  • NPI 1942437009
  NPD (past)
• Omni Family Medical Clinic SC

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1679528822
  NPD (past)
• Racine Emergency Physicians, S.C.

  • Emergency Medicine Physician
  • Racine, WI
  • NPI 1184654121
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holistic Hospice Inc

  • Community Based Hospice Care Agency
  • Greenfield, WI
  • NPI 1720523210
  Care Compare affiliation
• Horizon Home Care & Hospice, Inc.

  • Home Health Agency
  • Milwaukee, WI
  • NPI 1780687327
  Care Compare affiliation

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1619932126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W SILVER SPRING DRIVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094518",
            "telephone_number": "414-800-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W SILVER SPRING DR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094218",
            "telephone_number": "414-800-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUSANYA",
        "first_name": "ADEDAPO",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "48568020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "48568020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34827900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca O'Connor
• John M O'Donnell, PH.D.
• Jocelyn M Ocampo, SLPA
• Kurt R Oelke, M.D.
• Ognomy Sleep Associates, NJ LLC
• Jeffrey M Oles, DC
• Deborah E Omondi, MS
• Lee Za Ong, LPC
• Orlanu Therapies -the Myofascial Release Center of Milwaukee, S.C.
• Orthopaedic Hospital of Wisconsin, LLC

• Family Medicine Physician in Glendale, WI
• Providers in Glendale, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.

Verify at the official NPI Registry.