Individual provider Active NPI

Oluseyi A Adegoroye, M.D.

  • Internal Medicine Physician
  • Centreville, VA
National Provider Identifier
1811025356
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101048329 Issued in VA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 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, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190320000415 VA Practitioner - Internal Medicine 8527227933 Reassigns benefits to 1 organization
I20250926004408 DC Practitioner - Internal Medicine 8527227933 Reassigns benefits to 1 organization

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
Health Systems IncorporatedGroup PAC ID 0042478653, 2 clinicians

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

LicenseStateTypeSpecialty
0101048329VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Systems Incorporated Internal Medicine CurrentSince Jun 15, 2025 Accepting new patients
Benpay Health Group LLC CurrentSince Dec 21, 2025 Accepting new patients
Centerwell Senior Primary Care VA PLLC Internal Medicine CurrentSince Feb 16, 2026 Accepting new patients
Centerwell Senior Primary Care VA PLLC Internal Medicine CurrentSince Feb 16, 2026 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.

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

Verify at the official NPI Registry.