Individual provider Active NPI

Adedeji Olusanya, DO/MPH

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • San Antonio, TX
National Provider Identifier
1649899097
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
U0821 Issued in TX
Practice address
5282 Medical Dr Ste 180
San Antonio, TX 78229-5384
Phone
(210) 450-9850
Fax
(210) 450-6095
NPI assigned
Apr 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X U0821 TX
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X U0821 TX Primary
Physical Medicine & Rehabilitation Physician 208100000X U0821 TX

Addresses

Primary practice location

5282 Medical Dr Ste 180
San Antonio, TX 78229-5384

Mailing address

5282 Medical Dr Ste 180
San Antonio, TX 78229-5384
Phone (210) 450-9850

Other practice location 1

4502 Medical Dr
San Antonio, TX 78229-4492
Phone (210) 358-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20250530001204 TX Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Physical Medicine and Rehabilitation 4486163680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Texas Health Science Center at San AntonioGroup PAC ID 0042128548, 1,290 clinicians

Practice addresses (Care Compare)

5282 Medical Dr
San Antonio, TX 78229-4849
Phone (210) 450-9000

Hospital & facility affiliations

  • Ut Health San Antonio Multispecialty & Research Ho Hospital, San Antonio, TX, CCN 670335
  • University Health System Hospital, San Antonio, TX, CCN 450213

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates CurrentSince May 21, 2025 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Aug 1, 2025 Accepting new patients
University of Texas Health Science Center at San Antonio Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients

Locations

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

5282 Medical Dr
Ste 180
San Antonio, TX 78229
Phone (210) 450-9850

5282 Medical Dr
San Antonio, TX 78229
Phone (210) 450-9850

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Interoperability endpoints

  • Direct secure messaging: aolusanya198134@uhssa.direct-ci.com
  • Direct secure messaging: aolusanya30708@direct.utmsa.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1649899097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR STE 180",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295384",
            "telephone_number": "210-450-9850",
            "fax_number": "210-450-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR STE 180",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295384",
            "telephone_number": "210-450-9850",
            "fax_number": "210-450-6095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294492",
            "country_code": "US",
            "telephone_number": "210-358-4000",
            "fax_number": "210-358-4775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLUSANYA",
        "first_name": "ADEDEJI",
        "credential": "DO/MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-15",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "U0821",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "U0821",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "U0821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.