Individual provider Active NPI

Gboyega Adeniyi

  • Case Manager/Care Coordinator
  • Washington, DC
National Provider Identifier
1659635332
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
5820 Dix St NE
Washington, DC 20019-6965
Phone
(202) 547-3870
NPI assigned
Jun 27, 2012
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Health Services, LLC PastSince May 1, 2023 Accepting new patients
JD Nursing & Management Ser Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

5820 Dix St NE
Washington, DC 20019-6965

Mailing address

2759 Martin Luther King Jr Ave SE
Washington, DC 20032-2646
Phone (202) 827-9961

Other practice location 1

2759 Martin Luther King Jr Ave SE
Washington, DC 20032-2646
Phone (202) 827-9961

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2023.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1659635332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322646",
            "telephone_number": "202-827-9961",
            "fax_number": "202-827-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 DIX ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200196965",
            "telephone_number": "202-547-3870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2759 Martin Luther King Jr Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200322646",
            "country_code": "US",
            "telephone_number": "202-827-9961",
            "fax_number": "202-827-9963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADENIYI",
        "first_name": "GBOYEGA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.