Individual provider Active NPI

David A. Adewole, MD

  • Emergency Medicine Physician
  • Cypress, TX
National Provider Identifier
1730453739
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P5151 Issued in TX
Practice address
25801 Hwy 290
Cypress, TX 77429-1049
Phone
(281) 304-1100
Fax
(281) 256-0205
NPI assigned
Mar 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X P5151 TX
Emergency Medicine Physician 207P00000X P5151 TX Primary

Addresses

Primary practice location

25801 Hwy 290
Cypress, TX 77429-1049

Mailing address

25801 Hwy 290
Cypress, TX 77429-1049
Phone (281) 304-1100

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
I20130819000211 TX Practitioner - Family Practice 4385886555 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Urgent Care Clinic LLCGroup PAC ID 3971804188, 16 clinicians

Practice addresses (Care Compare)

1398 Eldridge Pkwy
Suite 113
Houston, TX 77077-2548
Phone (346) 576-8155

6111 N Fry Rd
Katy, TX 77449-5563
Phone (832) 913-6817

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P5151TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Urgent Care PLLC CurrentSince Dec 1, 2014 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Apex Urgent Care Clinic LLC CurrentSince Nov 13, 2015 Accepting new patients
Apex Urgent Care Clinic Eldridge LLC Family Medicine CurrentSince Aug 24, 2024 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Excel Urgent Care PLLC Emergency Medicine CurrentSince Mar 12, 2024 Accepting new patients
Texas Home Physicians PastSince Jan 1, 2016 Accepting new patients

Locations

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

25402 Northwest Fwy
Ste 101
Cypress, TX 77429
Phone (281) 304-1100

25801 Highway 290
Cypress, TX 77429
Phone (281) 304-1100

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1398 Eldridge Pkwy
Ste 113
Houston, TX 77077
Phone (281) 679-9500

1398 Eldridge Pkwy
Houston, TX 77077

19304 Katy Fwy
Ste 100
Houston, TX 77094
Phone (281) 304-1100

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

6111 Fry Rd
Katy, TX 77449
Phone (832) 427-6015

6840 Highway 6
Ste A
Missouri City, TX 77459
Phone (281) 403-3660

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

4828 Waterview Town Center Dr
Ste 100
Richmond, TX 77407
Phone (832) 427-6015

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1730453739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25801 HWY 290",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291049",
            "telephone_number": "281-304-1100",
            "fax_number": "281-256-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25801 HWY 290",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291049",
            "telephone_number": "281-304-1100",
            "fax_number": "281-256-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEWOLE",
        "first_name": "DAVID",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-08",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P5151",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P5151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.