Organization Active NPI

Rehoboth Medical Services PLLC

  • Internal Medicine Physician
  • Murphy, TX
National Provider Identifier
1639276272
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
REHOBOTH MEDICAL SERVICES PLLC
Practice address
632 Mustang Ridge Dr
Murphy, TX 75094-4208
Phone
(972) 384-0273
Fax
(972) 384-0273
NPI assigned
Sep 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Aderemi Adewuyi, M.D.
Title
Chief Medical Director
Phone
(972) 384-0273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

632 Mustang Ridge Dr
Murphy, TX 75094-4208

Mailing address

632 Mustang Ridge Dr
Murphy, TX 75094-4208
Phone (972) 384-0273

National Provider Directory

National Provider Directory

Locations

3313 Naaman School Rd
#200N
Garland, TX 75040
Phone (972) 496-3627

3313 Naaman School Rd
Ste 200
Garland, TX 75040
Phone (972) 496-3627

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18874/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639276272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 MUSTANG RIDGE DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944208",
            "telephone_number": "972-384-0273",
            "fax_number": "972-384-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 MUSTANG RIDGE DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944208",
            "telephone_number": "972-384-0273",
            "fax_number": "972-384-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADEWUYI",
        "authorized_official_first_name": "ADEREMI",
        "authorized_official_title_or_position": "CHIEF MEDICAL  DIRECTOR",
        "authorized_official_telephone_number": "972-384-0273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.