Adetokunbo A Akinyeye, M.D.
Individual provider Active NPI Family Medicine Physician · Baytown, TX
NPI 1720060106 · NPPES record last updated Aug 15, 2011
Key facts
- NPI
- 1720060106
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- J8867 (TX)
- Practice address
- 1661 Rollingbrook Dr
Suite a
Baytown, TX 77521-3666 - Phone
- (281) 422-9967
- Fax
- (281) 422-1032
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1661 Rollingbrook Dr a
Baytown, TX 77521-3666
Phone (281) 422-9967
Hospital & facility affiliations
- Houston Methodist Baytown Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20040212000945 | TX | Practitioner - Family Practice | 2961396544 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J8867 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toks Akinyeye, M.D., P.a. | Family Medicine | Current |
Accepting new patients |
| Smithville Hospital Authority | Past | Accepting new patients | |
| Pars Neurology PA | Past | Accepting new patients | |
| Ascension Seton | Past | Accepting new patients | |
| San Jacinto Family Practice Education Foundation | Family Medicine | Past | Accepting new patients |
Locations
1010 W Baker Rd
Ste 105
Baytown, TX 77521
Phone (281) 420-8957
1661 Rollingbrook Dr
Ste A
Baytown, TX 77521
Phone (281) 420-8957
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J8867 | TX | Yes |
Addresses
Primary practice location
1661 Rollingbrook Dr
Suite a
Baytown, TX 77521-3666
Mailing address
PO Box 2256
Baytown, TX 77522-2256
Phone (281) 422-9967
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00099854 | Other | TX | MEDICARE RR |
| 135327814 | Medicaid | TX | |
| 8M1750 | Other | TX | BLUE CROSS |
| 163411502 | Medicaid | TX |
Other providers in Baytown, TX
- Haider Afzal
- Ishita Agarwal
- Aiza Ahmad
- Mahin Ahmadi
- Mohamed S Ahmed
- Hasan Al-Azzawi
- Sarah Majid Al-Ghanim
- Rebecca Alarcon
- Steven Benjamin Albright
- Luis M Albuerne
All providers in Baytown, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2011. 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.