Oluwakemi Elizabeth Adeyanju, MD
Individual provider Active NPI Internal Medicine Physician · New Orleans, LA
NPI 1689134256 · NPPES record last updated Jun 23, 2022
Key facts
- NPI
- 1689134256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 330440 (LA)
- Practice address
- 1514 Jefferson Hwy
New Orleans, LA 70121-2429 - Phone
- (504) 842-4021
- NPI assigned
- Mar 20, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ochsner Clinic LLC
Practice addresses (Care Compare)
13100 River Rd
Destrehan, LA 70047-5219
Phone (985) 764-7669
Hospital & facility affiliations
- Ochsner Home Health of Raceland
- Ochsner Medical Center Acute
- St Charles Parish Hospital
- Ochsner Medical Center-Kenner
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221011001423 | LA | Practitioner - Internal Medicine | 1153797444 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Internal Medicine | Current |
Accepting new patients |
| Ochsner Clinic LLC | Internal Medicine | Current |
Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients |
Locations
13100 River Rd
Destrehan, LA 70047
Phone (504) 701-3652
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
Interoperability endpoints
- oadeyanju1631618@direct.ochsner.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 330440 | LA | Yes |
Addresses
Primary practice location
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4021
Other practice location 1
201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7425
Other names
- Oluwakemi Elizabeth Bankole
Other providers in New Orleans, LA
- Christian G Addison
- Kaity Leigh Addison
- Joseph Adetola Adedigba
- Aden Burka Wright
- Adeleso Adesina
- Prateek Kumar Adhikari
- Dalina Adilovic
- Ugonna Adindu
- Conrad James Adkins
- Darrell Alan Adkins
All providers in New Orleans, LA · Internal Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.