Active NPI
Adeshola A Afolabi, FNP
- Family Nurse Practitioner
- Fishers, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71004455A
- Practice address
- 13861 Olio Rd
Fishers, IN 46037-3487 - Phone
- (317) 415-9000
- NPI assigned
- Sep 22, 2010
- Last updated
- Sep 18, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71004455A | IN | Primary |
| Registered Nurse | 163W00000X | 28204676A | IN | |
| Registered Nurse | 163W00000X | 578768-1 | NY |
Addresses
Primary practice location
13861 Olio Rd
Fishers, IN 46037-3487
Mailing address
250 W 96TH St # 520
Indianapolis, IN 46260-1316
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201176490 | Medicaid | IN | |
| P01347689 | Other | IN | MEDICARE RR PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13500 N Meridian St
Carmel, IN 46032-1456
Phone (317) 582-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28204676A | IN | MD | Registered Nurse |
| 578768-1 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solmed Care Concept Inc. | Current | Accepting new patients | |
| St Vincent Physician Services Hospital and Health Care Center | Current | Accepting new patients | |
| Aims, LLC | Current | Accepting new patients | |
| St Vincent Physician Services Hospital and Health Care Center | Current | Accepting new patients | |
| Aims-Med, LLC | Current | Accepting new patients | |
| Saint Vincent Physician Services, Inc. | Past | Accepting new patients | |
| Westmed, LLC | Past | Accepting new patients | |
| St Vincent Medical Group Inc | Past | Accepting new patients |
Locations
417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330
13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000
9330 Broadway
Crown Point, IN 46307
Phone (219) 648-2400
13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136
250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331
6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400
8240 Naab Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 338-7450
8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760
111 E 3rd St
Unit 764
Mishawaka, IN 46546
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
Organizations & group practices 9
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.
-
dba Ascension Medical Group St. Vincent
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
-
- Psychiatry Physician
- Bremen, IN
- NPI 1376072785
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1669422234
-
- Home Health Agency
- Indianapolis, IN
- NPI 1003788688
-
- Internal Medicine Physician
- Bremen, IN
- NPI 1881211878
-
- Durable Medical Equipment & Medical Supplies
- Carmel, IN
- NPI 1366689044
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1558686436
-
- Durable Medical Equipment & Medical Supplies
- Carmel, IN
- NPI 1235521030
-
- Family Medicine Physician
- Worcester, MA
- NPI 1013997329
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St Vincent Fishers
- General Acute Care Hospital
- Fishers, IN
- NPI 1881956167
-
dba Ascension St. Vincent Anderson
- General Acute Care Hospital
- Anderson, IN
- NPI 1679578850
-
dba Ascension St. Vincent Hospital
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
dba Ascension St. Vincent - Avon
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1689982803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W 96TH ST # 520",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13861 OLIO RD",
"city": "FISHERS",
"state": "IN",
"postal_code": "460373487",
"telephone_number": "317-415-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFOLABI",
"first_name": "ADESHOLA",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-22",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71004455A",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28204676A",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "578768-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201176490",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR PTAN",
"identifier": "P01347689",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fishers, IN
- Aecc LLC
- Afd, LLC (Advanced Family Dentistry)
- Affordable Dentures & Implants - Fishers II, P.C. (Affordable Dentures & Implants - Fishers)
- Affordable Dentures & Implants - Fishers, P.C. (Affordable Dentures & Implants - Fishers)
- Affordable Medical Consultants, LLC
- Agropec Trading LLC (Allivet)
- Daniel Hernesto Aguilar
- Naheed Ahmad
- Khunsha Ahmed
- Rihab Ahmed
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.