Temitope Adetola Fanimo, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

35.154015 Issued in OH

Practice address

7580 Auburn Rd Ste 103
Concord Township, OH 44077-9616

Phone

(440) 352-1474

NPI assigned

Mar 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Otolaryngology

Education

Loyola University of Chicago, Stritch School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Health Hospital, Concord, OH, CCN 360098
• Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
• Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tadeyeni31562@ehrdirect.uhhospitals.org

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.

• University Primary Care Practices Inc

  • Gastroenterology Physician
  • Mentor, OH
  • NPI 1003935339
  Medicare reassignment Care Compare group NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414

  Otolaryngology

  Medicare reassignment NPD
• Eastside ENT Specialists, Inc

  • Specialist
  • Painesville, OH
  • NPI 1215907845
  NPD
• University Primary Care Practices Inc

  • Internal Medicine Physician
  • Shaker Heights, OH
  • NPI 1720220098
  NPD
• University Primary Care Practices Inc

  • Orthopaedic Surgery Physician
  • Oberlin, OH
  • NPI 1982727087
  NPD
• Eastside Hearing Aid Center, LLC

  • Audiologist-Hearing Aid Fitter
  • Painesville, OH
  • NPI 1093922049
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lake Hospital System Inc

  • General Acute Care Hospital
  • Willoughby, OH
  • NPI 1972689172
  Care Compare affiliation
• Uh Regional Hospitals

  • General Acute Care Hospital
  • Chardon, OH
  • NPI 1669562864
  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1043397292
  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  • Multi-Specialty Clinic/Center
  • Mentor, OH
  • NPI 1487770335

  Hospital

  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  • Multi-Specialty Clinic/Center
  • Westlake, OH
  • NPI 1669598082

  Hospital

  Care Compare affiliation
• University Hospitals of Cleveland

  • Clinic/Center
  • Cleveland, OH
  • NPI 1760673412

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1821625682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 LINDHOLM RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205127",
            "telephone_number": "708-439-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 AUBURN RD STE 103",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779616",
            "telephone_number": "440-352-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANIMO",
        "first_name": "TEMITOPE",
        "middle_name": "ADETOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35.154015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Dunlap
• Jamie Ekstrom, AU.D.
• Samantha Emch, LPC
• Kathleen Ann Fagan, RN
• Morgan Renee Faldowski, AU.D.
• Grace Elizabeth Foster, PA-C
• Four Corners Health Care, LLC
• Natalie Marie Frank, M.A., CF-SLP
• Ashley Frasca, PA-C
• Kathryn Diane Fulgham, LPN

• Otolaryngology Physician in Concord Township, OH
• Providers in Concord Township, OH by specialty
• Otolaryngology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.

Verify at the official NPI Registry.