NPIMap

Individual provider Active NPI

Daniel Taiwo Adeneye, MD

  • Nephrology Physician
  • Farmington, NM
National Provider Identifier
1770929929
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD2015-0573 Issued in NM
Practice address
812 W Maple St
Farmington, NM 87401-5631
Phone
(505) 326-6521
NPI assigned
May 15, 2013
Last updated
Sep 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2015-0573 NM
Nephrology Physician 207RN0300X MD2015-0573 NM Primary

Addresses

Primary practice location

812 W Maple St
Farmington, NM 87401-5631

Mailing address

812 W Maple St
Farmington, NM 87401-5631
Phone (505) 326-6521

Other names 1

  • Taiwo Olutope Odeneye Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, UT, NM, CO, TX5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20150814014721 AZ Practitioner - Nephrology 4486969763 Reassigns benefits to 2 organizations
I20150916002884 UT Practitioner - Nephrology 4486969763 Reassigns benefits to 1 organization
I20150921001319 NM Practitioner - NephrologyPractitioner - Internal Medicine 4486969763 Reassigns benefits to 1 organization
I20150921001633 CO Practitioner - NephrologyPractitioner - Internal Medicine 4486969763 Reassigns benefits to 1 organization
I20151001002941 TX Practitioner - NephrologyPractitioner - Internal Medicine 4486969763 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Nephrology PCGroup PAC ID 6204813843, 9 clinicians
DHHS PHS Naihs Shiprock HospitalGroup PAC ID 0749193837, 148 clinicians

Practice addresses (Care Compare)

1220 W 24TH St
Suite 1
Yuma, AZ 85364-8705
Phone (928) 329-8331

167 Main St
Tcrhcc Mobile Medical Clinic
Tuba City, AZ 86045-0600
Phone (928) 283-2501

167 N Main St
Tuba City, AZ 86045-0600
Phone (928) 283-2094

312 S Lake St
Farmington, NM 87401-5620

312 S Lake St
Farmington, NM 87401-6589

500 Edgewater Dr
Tuba City, AZ 86045-2905
Phone (505) 326-6521

802 S 200
Blanding, UT 84511-3910
Phone (505) 326-6521

812 W Maple St
Farmington, NM 87401-5631
Phone (505) 326-6521

Highway 191 and Hospital Rd
Chinle, AZ 86503-8000
Phone 92867470307030

Highway 491
Shiprock, NM 87420-0160
Phone 50536860016401

P O Box
160 Attn Business Office
Shiprock, NM 87420-0160

P O Box
Suite 600
Tuba City, AZ 86045-0600

PO Box
Suite 160
Shiprock, NM 87420-0160

PO Box PH
Chinle, AZ 86503-8000

US Hwy 160
BLDG 2000 Dennehotso Health Ctr
Dennehotso, AZ 86535-2000
Phone (928) 697-4000

US Hwy 160 S
MP 394
Kayenta, AZ 86033-0368
Phone (928) 697-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
74.27
Improvement activities
40
Cost
78.06

Merit-based Incentive Payment System (MIPS)

Final score
77.59 of 100Reported as group
Quality
47.51
Promoting interoperability
69
Improvement activities
40
Cost
86.96

Merit-based Incentive Payment System (MIPS)

Final score
80.86 of 100Reported as group
Quality
61.32
Improvement activities
40
Cost
90.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2015-0573NMMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kayenta Alternative Rural Hospital CurrentSince Jul 1, 2022 Accepting new patients
Yuma Nephrology PC Nephrology CurrentSince Oct 1, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 10, 2018 Accepting new patients
Tuba City Regional Health Care Corporation Internal Medicine CurrentSince Oct 29, 2015 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 17, 2015 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Apr 2, 2024 Accepting new patients
Tuba City Regional Health Care Corporation Internal Medicine Current Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Oct 29, 2015 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 17, 2015 Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Jul 1, 2022 Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients

Locations

11871 S Fortuna Rd
Yuma, AZ 85367
Phone (928) 329-8331

1220 W 24th St
Ste 1
Yuma, AZ 85364
Phone (928) 259-2734

2130 W 24th St
Yuma, AZ 85364
Phone (928) 783-2365

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1770929929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015631",
            "telephone_number": "505-326-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015631",
            "telephone_number": "505-326-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENEYE",
        "first_name": "DANIEL",
        "middle_name": "TAIWO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2015-0573",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "MD2015-0573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAIWO",
            "last_name": "ODENEYE",
            "middle_name": "OLUTOPE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.