Fausat A Adediji, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

27247 Issued in OK

Practice address

4502 E. 41St Street
Ou Department of Pediatrics
Tulsa, OK 74135

Phone

(918) 660-3416

Fax

(918) 660-3426

NPI assigned

Jun 25, 2009

Last updated

Jun 25, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1447.epichosted.com/APIProxyPRD/api/FHIR/R4

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.

• Citizen Potawatomi Nation

  dba Citizen Potawatomi Nation West Clinic

  • Federally Qualified Health Center (FQHC)
  • Shawnee, OK
  • NPI 1881981744

  TX

  Medicare reassignment NPD
• Citizen Potawatomi Nation

  dba Citizen Potawatomi Nation Clinic

  • Federally Qualified Health Center (FQHC)
  • Shawnee, OK
  • NPI 1194752949
  NPD
• Citizen Potawatomi Nation

  • Chiropractor
  • Shawnee, OK
  • NPI 1427659523
  NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1629206941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741359923",
            "telephone_number": "918-660-3416",
            "fax_number": "918-660-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 E. 41ST STREET",
            "address_2": "OU DEPARTMENT OF PEDIATRICS",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-660-3416",
            "fax_number": "918-660-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEDIJI",
        "first_name": "FAUSAT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "27247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA MEDICAL LICENSE",
            "identifier": "27247",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna Nicole Addington, DO
• Patricia Addis
• Alecia Renee Addison
• Daniel Addo
• Konawha D Ade, B.S.
• Elijah O Adedoyin, DO
• Kristen Dawn Adekunle
• Wakeelah Eunice Adelegan
• David Michael Adelson, MD
• Julia Lea Adelson, P.T.

• Pediatrics Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.

Verify at the official NPI Registry.