Akinwumi Gammal Aladesawe, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

ME112766 Issued in FL

Practice address

4753 US Highway 19
New Port Richey, FL 34652-4945

Phone

(727) 807-9948

Fax

(727) 807-9950

NPI assigned

Aug 14, 2007

Sex

Male

Sole proprietor

Yes

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 FL

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

Pain Management

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Group practices

National Health Rehabilitation LLCGroup PAC ID 4284952615, 153 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.66 of 100Reported as group

Quality

73.72

Improvement activities

40

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.

• Aladesawe Enterprises Inc.

  dba Leading Edge Medical Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New Port Richey, FL
  • NPI 1790192185
  Medicare reassignment NPD Authorized official
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Edgewater, NJ
  • NPI 1780080218

  FL

  Medicare reassignment Care Compare group NPD
• Avid Health Plans LLC

  dba Avid Health Plans

  • Health Maintenance Organization
  • Tampa, FL
  • NPI 1629397773
  NPD (past)
• Best Medical LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1114484813
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1669664579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 US HIGHWAY 19",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524945",
            "telephone_number": "727-807-9948",
            "fax_number": "727-807-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 US HIGHWAY 19",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524945",
            "telephone_number": "727-807-9948",
            "fax_number": "727-807-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALADESAWE",
        "first_name": "AKINWUMI",
        "middle_name": "GAMMAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME112766",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME112766",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME112766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ag Pediatrics, LLC (St. Thomas Pediatric Associate)
• Shiv Kumar Aggarwal, M.D.
• Zahid M Akram, MD
• Mustafa Al-Chalabi, DO
• Aladesawe Enterprises Inc. (Leading Edge Medical Center)
• Alan K. Sichelman, M.D. P.a.
• Kirk W Albaugh, MSW
• Wesam Ali Aziz Ali Aziz Ali Aziz Albeer
• Tony Albert-Burgos
• Jeremy Matthew Albert, D.M.D., M.S.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.