NPIMap

Individual provider Active NPI

Akintoluwa Anthony Akinjaiyeju, M.D.

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1669477741
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L9596 Issued in TX
Practice address
10755 Kenworthy St
El Paso, TX 79924-1717
Phone
(915) 821-5900
Fax
(915) 821-5900
NPI assigned
Jun 16, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L9596 TX Primary

Addresses

Primary practice location

10755 Kenworthy St
El Paso, TX 79924-1717

Mailing address

10755 Kenworthy St
El Paso, TX 79924-1717
Phone (915) 821-5900

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTX

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Pediatrics Night Clinic Pediatrics Past Accepting new patients
El Paso Children's Hospital Corporation Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients

Organizations & group practices 6

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669477741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10755 KENWORTHY ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241717",
            "telephone_number": "915-821-5900",
            "fax_number": "915-821-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 KENWORTHY ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241717",
            "telephone_number": "915-821-5900",
            "fax_number": "915-821-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINJAIYEJU",
        "first_name": "AKINTOLUWA",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L9596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.