Individual provider Active NPI

Ibiyinka Olatokunbo Ladapo, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1699338673
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T6290 Issued in TX
Practice address
2121 SW 36TH St
San Antonio, TX 78237-3360
Phone
(210) 358-5100
Fax
(210) 358-5129
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T6290 TX Primary

Addresses

Primary practice location

2121 SW 36TH St
San Antonio, TX 78237-3360

Mailing address

2121 SW 36TH St
San Antonio, TX 78237-3360
Phone (210) 358-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20220706002745 TX Practitioner - Internal Medicine 4284014416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medicine AssociatesGroup PAC ID 7719979509, 590 clinicians

Practice addresses (Care Compare)

903 W Martin
Robert B Green Adult Cont Clinic
San Antonio, TX 78207-0903
Phone (210) 358-3441

Hospital & facility affiliations

  • University Health System Hospital, San Antonio, TX, CCN 450213

Merit-based Incentive Payment System (MIPS)

Final score
96.65 of 100Reported as group
Quality
83.62
Promoting interoperability
100
Improvement activities
40
Cost
78.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Pain Management Specialists PastSince Feb 7, 2021 Accepting new patients

Locations

903 W Martin St
San Antonio, TX 78207
Phone (210) 358-3400

2121 SW 36th St
San Antonio, TX 78237
Phone (210) 358-5100

903 W Martin St
#B
San Antonio, TX 78207
Phone (210) 358-3441

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: iladapo499917@uhssa.direct-ci.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1699338673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 SW 36TH ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373360",
            "telephone_number": "210-358-5100",
            "fax_number": "201-358-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SW 36TH ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373360",
            "telephone_number": "210-358-5100",
            "fax_number": "210-358-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADAPO",
        "first_name": "IBIYINKA",
        "middle_name": "OLATOKUNBO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T6290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.