Active NPI
Oluseyi A Adegoroye, M.D.
- Internal Medicine Physician
- Centreville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101048329
- Practice address
- 14001A Saint Germain Dr
Centreville, VA 20121-2338 - Phone
- (703) 830-8113
- Fax
- (703) 830-8276
- NPI assigned
- Feb 28, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101048329 | VA | Primary |
Addresses
Primary practice location
14001A Saint Germain Dr
Centreville, VA 20121-2338
Mailing address
14001A Saint Germain Dr
Centreville, VA 20121-2338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5900 Fort Dr
Suite 201
Centreville, VA 20121-2425
Phone (703) 830-8113
7525 Tidewater Dr
Suite 19
Norfolk, VA 23505-3700
Phone (757) 330-0150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101048329 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Systems Incorporated | Internal Medicine | Current | Accepting new patients |
| Benpay Health Group LLC | Current | Accepting new patients | |
| Centerwell Senior Primary Care VA PLLC | Internal Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care VA PLLC | Internal Medicine | Current | Accepting new patients |
Locations
14001D Saint Germain Dr
Centreville, VA 20121
Phone (703) 266-3991
5900 Fort Dr
Ste 201
Centreville, VA 20121
Phone (703) 830-8113
7525 Tidewater Dr
Ste 19
Norfolk, VA 23505
Phone (757) 330-0150
8191 Brook Rd
Ste Mn
Richmond, VA 23227
Phone (804) 596-5320
Organizations & group practices 5
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.
-
dba Centreville Urgent Care
- Urgent Care Clinic/Center
- Centreville, VA
- NPI 1306881024
DC, Internal Medicine
-
dba CenterWell Senior Primary Care-Tidewater
- Internal Medicine Physician
- Norfolk, VA
- NPI 1568162808
-
dba Centreville Urgent Care
- Urgent Care Clinic/Center
- Centreville, VA
- NPI 1477418028
-
dba CenterWell Senior Primary Care-SE Newport News
- Internal Medicine Physician
- Newport News, VA
- NPI 1588438592
-
dba CenterWell Senior Primary Care-South Laburnum
- Internal Medicine Physician
- Henrico, VA
- NPI 1821798141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811025356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14001A SAINT GERMAIN DR",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201212338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001A SAINT GERMAIN DR",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201212338",
"telephone_number": "703-830-8113",
"fax_number": "703-830-8276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEGOROYE",
"first_name": "OLUSEYI",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101048329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.