Abdul Razaq Adeniyi, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

88670 Issued in GA

Practice address

1326 Eisenhower Dr BLDG 2
Savannah, GA 31406-3928

Phone

(912) 354-6303

Fax

(912) 355-8655

NPI assigned

May 4, 2015

Last updated

Jul 25, 2023By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Cardiovascular Disease (Cardiology)

Education

Jefferson Medical College of Thomas Jefferson University, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SJ SC Cardiology LLCGroup PAC ID 1052607371, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph's Hospital - Savannah Hospital, Savannah, GA, CCN 110043
• Candler Hospital Hospital, Savannah, GA, CCN 110024
• Wayne Memorial Hospital Hospital, Jesup, GA, CCN 110124

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• SJ SC Cardiology LLC

  • Cardiovascular Disease Physician
  • Savannah, GA
  • NPI 1245694496
  Medicare reassignment Care Compare group NPD
• Saint Joseph's Hospital, Inc.

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1063406684
  NPD (past)

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

• Candler Hospital Incorporated

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1275527889
  Care Compare affiliation
• Hospital Authority of Wayne County, Georgia

  dba wayne memorial hospital

  • General Acute Care Hospital
  • Jesup, GA
  • NPI 1770578999
  Care Compare affiliation
• Saint Joseph's Hospital, Inc.

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1063406684
  Care Compare affiliation

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1649657297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 EISENHOWER DR BLDG 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063928",
            "telephone_number": "912-354-6303",
            "fax_number": "912-355-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 EISENHOWER DR BLDG 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063928",
            "telephone_number": "912-354-6303",
            "fax_number": "912-355-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th Street Augusta University Medical Center",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309123676",
            "country_code": "US",
            "telephone_number": "706-721-2426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADENIYI",
        "first_name": "ABDUL RAZAQ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-04",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT208196",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "88670",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "88670",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Adams
• Gretchen Adamski, P.T.
• Debra Addy, MA, CCC-SLP
• Adelle Burnsed-Geffen, PH.D. (Psychological Resource Center)
• Adegoke O Adeniji
• John Mark Adent, MD
• Kelli Adger
• Chinaza C. Adiele
• Jessica Rittie Adkins, DNP, CPNP-PC
• Shayiana Adkins

• Cardiovascular Disease Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.