Individual provider Active NPI

Adebayo Oyekunle Olusanya, M.D

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1730474552
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125059064 Issued in IL
Practice address
4301 N Mesa St Ste 101
El Paso, TX 79902-1118
Phone
(915) 542-2352
Fax
(915) 593-8559
NPI assigned
Jun 9, 2011
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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 125059064 IL Primary

Addresses

Primary practice location

4301 N Mesa St Ste 101
El Paso, TX 79902-1118

Mailing address

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 864-6000

Other identifiers 1

IdentifierTypeStateIssuer
07993058OtherECFMG

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address adebayo.olusanya@hca8.eclinicaldirectplus.com Direct
Direct Messaging Address ADEBAYO.OLUSANYA@hca8.eclinicaldirectplus.com

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
I20190429000322 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0840415337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Palmas del Sol Cardiology, PLLCGroup PAC ID 2769608348, 16 clinicians

Practice addresses (Care Compare)

10301 Gateway Blvd W
Del Sol Medical Center
El Paso, TX 79925-7701
Phone (915) 595-5000

10640 Gateway Blvd N B
El Paso, TX 79924-1700
Phone (915) 307-4631

11551 Cedar Oak Dr
El Paso, TX 79936-6028
Phone (915) 592-8300

13001 Eastlake Blvd
Suite 114
Horizon City, TX 79928-6312
Phone (915) 542-2352

1625 Medical Ctr Dr
El Paso, TX 79902-5005
Phone (915) 747-4000

1801 N Oregon St
Las Palmas Medical Center
El Paso, TX 79902-3524
Phone (915) 521-1200

2001 N Oregon
Providence Memorial Hospital
El Paso, TX 79902-3320
Phone (915) 577-6011

4301 N Mesa St
El Paso, TX 79902-1118

7814 Gateway Blvd E B
Cardiovascular Imaging Center
El Paso, TX 79915-1815
Phone (915) 595-9200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.75 of 100Reported as individual
Quality
85.74
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125059064ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Palmas del Sol Cardiology, PLLC CurrentSince Dec 22, 2018 Accepting new patients
Carlos a Velez MD PA PastSince Sep 7, 2009 Accepting new patients
Cardiology Care Consultants, PA Internal Medicine PastSince Feb 9, 2020 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

10640 Gateway Blvd N
Ste B
El Paso, TX 79924
Phone (915) 591-4624

11551 Cedar Oak Dr
El Paso, TX 79936
Phone (915) 544-0817

1801 N Oregon St
#C
El Paso, TX 79902
Phone (915) 521-1200

4301 N Mesa St
Ste 101
El Paso, TX 79902
Phone (915) 442-2352

13001 Eastlake Blvd
Ste 114
Horizon City, TX 79928
Phone (915) 542-2352

Interoperability endpoints

  • Direct secure messaging: 2399-olusanya-adebayo@direct.leadingreach.com
  • Direct secure messaging: 4477-olusanya-adebayo@direct.leadingreach.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1730474552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123714",
            "telephone_number": "312-864-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MESA ST STE 101",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021118",
            "telephone_number": "915-542-2352",
            "fax_number": "915-593-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUSANYA",
        "first_name": "ADEBAYO",
        "middle_name": "OYEKUNLE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2022-01-26",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125059064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "07993058",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adebayo.olusanya@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4301 N Mesa St Ste 101",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799021118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ADEBAYO.OLUSANYA@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4301 N Mesa St Ste 101",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799021118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.