Jaiyeola Adeleye, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

18718 Issued in MS

Practice address

785 Ohio Ave Ste 3G
Clarksdale, MS 38614-6215

Phone

(662) 624-5026

Fax

(662) 624-5028

NPI assigned

Jun 13, 2006

Last updated

Aug 11, 2020By the provider in NPPES

Sex

Male

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

General Surgery

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delta Medical GroupGroup PAC ID 6608775531, 48 clinicians

Northwest Miss Regional Medical CenterGroup PAC ID 3173969177, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Missississippi Regional Medical Center Hospital, Clarksdale, MS, CCN 250042
• Delta Health System - the Medical Center Hospital, Greenville, MS, CCN 250082

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaiyeola.adeleye.1@29904.direct.athenahealth.com
• Direct secure messaging: jaiyeola.adeleye.3@4695.direct.athenahealth.com
• Direct secure messaging: nwmjadele@yourcarecommunity.org

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.

• Delta Medical Group

  • Emergency Medicine Physician
  • Greenville, MS
  • NPI 1790701134

  Surgery

  Medicare reassignment Care Compare group NPD
• Northwest Miss Regional Medical Center

  dba NWMRMC OPT Clinics

  • Internal Medicine Physician
  • Clarksdale, MS
  • NPI 1598458515

  Surgery

  Medicare reassignment Care Compare group NPD
• Delta Health System

  dba Delta Health-Medical Group

  • Internal Medicine Physician
  • Clarksdale, MS
  • NPI 1609464619

  Surgery

  NPD
• Northwest Miss Regional Medical Center

  dba Northwest Mississippi Regional Medical Center

  • Emergency Medicine Physician
  • Clarksdale, MS
  • NPI 1699468686
  NPD
• Delta Physician Practices

  • Family Nurse Practitioner
  • Greenville, MS
  • NPI 1598086639
  NPD (past)
• Northwest Miss Regional Medical Center

  dba NWMRMC - Woman's Clinic

  • Obstetrics & Gynecology Physician
  • Clarksdale, MS
  • NPI 1780423715
  NPD (past)

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

• Delta Health System

  dba Delta Health Cancer Center

  • Oncology Clinic/Center
  • Greenville, MS
  • NPI 1184232498

  Hospital

  Care Compare affiliation
• Delta Health System

  dba Delta Health-The Medical Center

  • Rural Acute Care Hospital
  • Greenville, MS
  • NPI 1306921887
  Care Compare affiliation
• Delta Health System

  dba Delta Health Cancer Center

  • Oncology Clinic/Center
  • Clarksdale, MS
  • NPI 1578171872

  Hospital

  Care Compare affiliation
• Delta Health System

  dba Delta Health Cancer Center

  • Oncology Clinic/Center
  • Cleveland, MS
  • NPI 1972112183

  Hospital

  Care Compare affiliation
• Northwest Miss Regional Medical Center

  dba Northwest Mississippi Regional Medical Center

  • General Acute Care Hospital
  • Clarksdale, MS
  • NPI 1275217606
  Care Compare affiliation

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1649213455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 OHIO AVE STE 3G",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146215",
            "telephone_number": "662-624-5026",
            "fax_number": "662-624-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 OHIO AVE STE 3G",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146215",
            "telephone_number": "662-624-5026",
            "fax_number": "662-624-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELEYE",
        "first_name": "JAIYEOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "18718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00253023",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaiyeola.adeleye.3@4695.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "785 Ohio Ave Ste 3G",
            "city": "Clarksdale",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386146215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Surgery Physician in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.