Individual provider Active NPI

Temitope Oladele Oyedele, M.D.

  • Infectious Disease Physician
  • Chicago, IL
National Provider Identifier
1629238498
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036-125254 Issued in IL
Practice address
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone
(312) 942-5000
NPI assigned
Jun 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.125254 IL
Pediatrics Physician 208000000X 036.125254 IL
Infectious Disease Physician 207RI0200X 036-125254 IL Primary

Addresses

Primary practice location

1653 W Congress Pkwy
Chicago, IL 60612-3833

Mailing address

5455 N Sheridan Rd
Apt 3406
Chicago, IL 60640-1958
Phone (201) 618-3079

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address toyedele@direct.ccprovider.org Direct Cook County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20120824000845 IL Practitioner - Pediatric MedicinePractitioner - Internal Medicine 1557518602 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.125254ILMDInternal Medicine Physician
036-125254ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Internal Medicine CurrentSince Mar 20, 2013 Accepting new patients
Rush University Medical Center CurrentSince Oct 1, 2020 Accepting new patients
Cook County CurrentSince Mar 20, 2013 Accepting new patients
Cook County Current Accepting new patients
Rush University Medical Group Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients

Locations

1645 W Jackson Blvd
Ste 215
Chicago, IL 60612
Phone (312) 942-3254

1725 W Harrison St
Ste 710
Chicago, IL 60612
Phone (312) 942-5983

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1653 W Congress Pkwy
#622
Chicago, IL 60612
Phone (312) 942-5068

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

4909 W Division St
Chicago, IL 60651
Phone (773) 854-8000

75 Remittance Dr
Dept 1611
Chicago, IL 60675

25706 Network Pl
Chicago, IL 60673

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

Interoperability endpoints

  • Direct secure messaging: toyedele@direct.ccprovider.org
  • Direct secure messaging: toyedele3957@direct.rush.rush-health.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1629238498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 N SHERIDAN RD",
            "address_2": "APT 3406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401958",
            "telephone_number": "201-618-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEDELE",
        "first_name": "TEMITOPE",
        "middle_name": "OLADELE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-14",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.125254",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.125254",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036-125254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "toyedele@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.