NPIMap

Individual provider Active NPI

Aina Nyenma Adekunle, M.D.

  • Internal Medicine Physician
  • Davenport, IA
National Provider Identifier
1831445147
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-42352 Issued in IA
Practice address
1230 E Rusholme St Ste 109
Davenport, IA 52803-2400
Phone
(563) 421-3120
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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 MD-42352 IA Primary

Addresses

Primary practice location

1230 E Rusholme St Ste 109
Davenport, IA 52803-2400

Mailing address

1230 E Rusholme St Ste 109
Davenport, IA 52803-2400
Phone (563) 421-3120

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aina.adekunle@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150724011677 IL Practitioner - Internal Medicine 2567775109 Reassigns benefits to 3 organizations
I20241007001502 VA Practitioner - Internal Medicine 2567775109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians

Practice addresses (Care Compare)

111 Mill Creek Pkwy
Suite 300
Chesapeake, VA 23323-1098
Phone (757) 558-8210

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Oct 1, 2024 Accepting new patients
Bayview Physician Services, PC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Genesis Health System CurrentSince Feb 1, 2017 Accepting new patients
Genesis Health System PastSince Jul 16, 2023 Accepting new patients
Bayview Medical Center, Inc Past Accepting new patients

Locations

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

202 Picard St
Alpha, IL 61413
Phone (309) 629-4601

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1831445147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E RUSHOLME ST STE 109",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032400",
            "telephone_number": "563-421-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E RUSHOLME ST STE 109",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032400",
            "telephone_number": "563-421-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEKUNLE",
        "first_name": "AINA",
        "middle_name": "NYENMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-42352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aina.adekunle@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "genesis helath system direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1230 eats rusholme street",
            "address_2": "suite 109",
            "city": "davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "52803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.