Individual provider Active NPI

Ekunola O. Alade, MD

  • Internal Medicine Physician
  • Bel Air, MD
National Provider Identifier
1750556288
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0072442 Issued in MD
Practice address
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone
(443) 643-1500
Fax
(443) 643-1505
NPI assigned
Apr 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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 D0072442 MD Primary

Addresses

Primary practice location

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324

Mailing address

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140207000398 PA Practitioner - Internal Medicine 2466623913 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Hill Clinic Company, LLC Internal Medicine CurrentSince Jan 6, 2014 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Jan 6, 2014 Accepting new patients
Upper Chesapeake Medical Services, Inc Past Accepting new patients

Locations

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100

Interoperability endpoints

  • Direct secure messaging: ekunolaolamide.alade@direct.einstein.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1750556288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UPPER CHESAPEAKE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144324",
            "telephone_number": "443-643-1500",
            "fax_number": "443-643-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UPPER CHESAPEAKE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144324",
            "telephone_number": "443-643-1500",
            "fax_number": "443-643-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALADE",
        "first_name": "EKUNOLA",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0072442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.