Individual provider Active NPI

Segun Patrick Adeoye, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1629418025
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R7637 Issued in TX
Practice address
985 Nasa Pkwy
Houston, TX 77058-3039
Phone
(281) 218-6777
NPI assigned
Jun 28, 2013
Last updated
Jul 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD449247 PA
Family Medicine Physician 207Q00000X R7637 TX Primary
Family Medicine Physician 207Q00000X E-11072 AR

Addresses

Primary practice location

985 Nasa Pkwy
Houston, TX 77058-3039

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

240 Willoughby St
14B
Brooklyn, NY 11201-5465
Phone (718) 250-8817

Other practice location 2

100 Hospital Rd
Brookville, PA 15825-1367
Phone (814) 849-2312

Other practice location 3

2403 Morgan Bay Ct
Pearland, TX 77584-3953
Phone (917) 499-5846

Other practice location 4

1601 New Castle Rd
Forrest City, AR 72335-2218
Phone (870) 261-0000

Other practice location 5

3623 S Main St Ste 109
Stafford, TX 77477-5406
Phone (281) 969-7643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AR, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150203000859 NM Practitioner - Family Practice 3779717640
I20180824002303 AR Practitioner - Family Practice 3779717640 Reassigns benefits to 4 organizations
I20181024000618 TX Practitioner - Family Practice 3779717640 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
The Urgent Care Associates of Texas PLLCGroup PAC ID 1355665795, 22 clinicians

Practice addresses (Care Compare)

32784 FM 2978 Rd
Magnolia, TX 77354-6039

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-11072ARMDFamily Medicine Physician
MD449247PAMDFamily Medicine Physician
MD2015-0025NMMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Velox Psychiatric Management CurrentSince Jun 30, 2024 Accepting new patients
Forrest City Physician Services, PLLC CurrentSince Sep 15, 2018 Accepting new patients
The Urgent Care Associates of Texas, PLLC CurrentSince Nov 14, 2024 Accepting new patients
Humberto Nunez MD PA Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Med Mental Health LLC CurrentSince Oct 18, 2024 Accepting new patients
Woodlands Lone Star Emergency Physicians Group, PLLC CurrentSince Nov 14, 2024 Accepting new patients
Forrest City Clinic Company LLC CurrentSince Aug 2, 2018 Accepting new patients
Nes Kentucky Inc CurrentSince Sep 25, 2019 Accepting new patients
Med Cure Clinic LLC CurrentSince Aug 23, 2024 Accepting new patients
HMH Physician Services LLC CurrentSince Sep 24, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
America's ER Site 001, LLC Past Accepting new patients

Locations

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700

200 Corporate Blvd
Lafayette, LA 70508

13625 Beechnut St
Ste C
Houston, TX 77083
Phone (346) 631-2266

6237 Highway 6 S
Ste C
Houston, TX 77083
Phone (832) 400-2048

9722 Gaston Rd
Ste 150103
Katy, TX 77494

32784 FM 2978 Rd
Magnolia, TX 77354
Phone (281) 789-3400

32784 FM 2978 Rd
#B
Magnolia, TX 77354
Phone (281) 789-3400

110 E Savannah Ave
Bldg B
McAllen, TX 78503
Phone (956) 686-7611

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1607/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sadeoy03@yourcarecommunity.org
  • Direct secure messaging: sadeoye@direct.excelahealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Velox Hospice Care, LLCHouston, TX, CCN E21514 Hospice W-2 Managing Employee (10%) Dec 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1629418025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 NASA PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583039",
            "telephone_number": "281-218-6777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Willoughby St",
            "address_2": "14B",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015465",
            "country_code": "US",
            "telephone_number": "718-250-8817",
            "fax_number": "718-250-8878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Brookville",
            "state": "PA",
            "postal_code": "158251367",
            "country_code": "US",
            "telephone_number": "814-849-2312",
            "fax_number": "814-849-4841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2403 Morgan Bay Ct",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775843953",
            "country_code": "US",
            "telephone_number": "917-499-5846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 New Castle Rd",
            "address_purpose": "LOCATION",
            "city": "Forrest City",
            "state": "AR",
            "postal_code": "723352218",
            "country_code": "US",
            "telephone_number": "870-261-0000",
            "fax_number": "870-261-0405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3623 S Main St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "TX",
            "postal_code": "774775406",
            "country_code": "US",
            "telephone_number": "281-969-7643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEOYE",
        "first_name": "SEGUN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD449247",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R7637",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-11072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.