Olusegun Adedamola Adeleye, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD.200937 Issued in LA

Practice address

405 Bienville St
Natchitoches, LA 71457-5748

Phone

(318) 356-7211

NPI assigned

May 24, 2006

Last updated

Jun 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: olusegun.adeleye@direct.la-hie.org

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.

• Shalom Clinic for Children Apmc

  • Pediatrics Physician
  • Natchitoches, LA
  • NPI 1760545867
  NPD (past) Authorized official
• Natchitoches Parish Hospital Service District

  dba Natchitoches Regional Medical Center

  • General Acute Care Hospital
  • Natchitoches, LA
  • NPI 1689676835
  NPD (past)
• Shalom Clinic for Children RHC Inc

  • Primary Care Clinic/Center
  • Winnfield, LA
  • NPI 1023067899
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1629023064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BIENVILLE ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575748",
            "telephone_number": "318-356-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BIENVILLE ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575748",
            "telephone_number": "318-356-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELEYE",
        "first_name": "OLUSEGUN",
        "middle_name": "ADEDAMOLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.200937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1582018",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reatha Aaron
• Kaleb Abebe
• Access Health Louisiana (Natchitoches Central High SBHC)
• Cara Adcock
• Ovayoza I Adeleye, MD
• Advanced Orthopaedic Surgery, LLC
• Air Evac EMS, Inc. (Air Evac Lifeteam)
• Alfred Godwin Ajise, MD
• Suhaib Farah Mufadi Al-Sawajneh, M.D

• Pediatrics Physician in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.