Individual provider Active NPI

Aderemi Adeniran

  • Registered Nurse
  • Hoffman Estates, IL
National Provider Identifier
1639544323
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041.356515 Issued in IL
Practice address
3804 Winston LN
Hoffman Estates, IL 60192-1847
Phone
(847) 991-4964
Fax
(847) 991-4964
NPI assigned
Dec 6, 2015
Last updated
Dec 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.356515 IL Primary

Addresses

Primary practice location

3804 Winston LN
Hoffman Estates, IL 60192-1847

Mailing address

3804 Winston LN
Hoffman Estates, IL 60192-1847
Phone (847) 991-4964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
041.356515ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Healthcare Institute, Inc. CurrentSince Dec 28, 2022 Accepting new patients
Rohi Care LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1449360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1639544323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 WINSTON LN",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601921847",
            "telephone_number": "847-991-4964",
            "fax_number": "847-991-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 WINSTON LN",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601921847",
            "telephone_number": "847-991-4964",
            "fax_number": "847-991-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENIRAN",
        "first_name": "ADEREMI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-06",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.356515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.