Active NPI
Rotimi A Afesumeh, M.D.
- Family Medicine Physician
- Marion, IN
National Provider Identifier
1821255209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 253817
- Practice address
- 1700 E 38TH St
Marion, IN 46953-4568 - Phone
- (765) 674-3321
- NPI assigned
- May 22, 2008
- Last updated
- Sep 26, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 253817 | NY | Primary |
Addresses
Primary practice location
1700 E 38TH St
Marion, IN 46953-4568
Mailing address
569 Iyopawa Rd
Coldwater, MI 49036-7728
Phone (517) 317-4060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130725000258 | IN | Order and Referring Only - Family Practice | 1254572712 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253817 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1821255209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "569 IYOPAWA RD",
"city": "COLDWATER",
"state": "MI",
"postal_code": "490367728",
"telephone_number": "517-317-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 E 38TH ST",
"city": "MARION",
"state": "IN",
"postal_code": "469534568",
"telephone_number": "765-674-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFESUMEH",
"first_name": "ROTIMI",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "253817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.