Individual provider Active NPI

Adewale Olatunji Oyemade, M.D.

  • Child & Adolescent Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1801054366
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD207231 Issued in LA
Practice address
1539 Jackson Ave Ste 300
New Orleans, LA 70130-5863
Phone
(504) 581-3933
Fax
(504) 596-3933
NPI assigned
May 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD039150 DC
Child & Adolescent Psychiatry Physician 2084P0804X C191667 CA
Child & Adolescent Psychiatry Physician 2084P0804X MD207231 LA Primary

Addresses

Primary practice location

1539 Jackson Ave Ste 300
New Orleans, LA 70130-5863

Mailing address

5868 Catina St
New Orleans, LA 70124-1941
Phone (202) 276-2817

Other practice location 1

201 Greenbrier Blvd
Covington, LA 70433-7236
Phone (985) 893-2970

Other practice location 2

15434 W Sage St
Victorville, CA 92392-9751
Phone (760) 843-0506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20171122001891 LA Practitioner - Psychiatry 2769629286 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C191667CAMDChild & Adolescent Psychiatry Physician
MD039150DCMDChild & Adolescent Psychiatry Physician
MD207231LAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Hospital, LLC CurrentSince Dec 1, 2020 Accepting new patients
River Oaks Inc CurrentSince Oct 9, 2017 Accepting new patients
River Oaks Inc CurrentSince Oct 9, 2017 Accepting new patients
Foothill Behavioral Health Consultants Inc Past Accepting new patients
Pelts, Kirkhart, Major and Associates, LLC PastSince Apr 24, 2022 Accepting new patients
Savanna Olsson, Pmhnp: a Professional Nursing Corporation PastSince Feb 24, 2022 Accepting new patients

Locations

201 Greenbrier Blvd
Covington, LA 70433
Phone (866) 652-3940

1525 River Oaks Rd W
New Orleans, LA 70123
Phone (504) 733-2273

Organizations & group practices 6

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1801054366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5868 CATINA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241941",
            "telephone_number": "202-276-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 JACKSON AVE STE 300",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305863",
            "telephone_number": "504-581-3933",
            "fax_number": "504-596-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Greenbrier Blvd",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704337236",
            "country_code": "US",
            "telephone_number": "985-893-2970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15434 W Sage St",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923929751",
            "country_code": "US",
            "telephone_number": "760-843-0506",
            "fax_number": "760-843-0507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OYEMADE",
        "first_name": "ADEWALE",
        "middle_name": "OLATUNJI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "DC",
            "license": "MD039150",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "C191667",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "MD207231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.