Individual provider Active NPI

Olumayowa Adefunke Aderinto, M.D

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1841447992
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N8749 Issued in TX
Practice address
1401 St. Joseph Parkway
Houston, TX 77002-8301
Phone
(713) 756-8537
Fax
(713) 756-8538
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 46518 TN
Internal Medicine Physician 207R00000X N8749 TX Primary

Addresses

Primary practice location

1401 St. Joseph Parkway
Houston, TX 77002-8301

Mailing address

4502 Riverstone Blvd
Ste 1403
Missouri City, TX 77459-5210
Phone (713) 239-4249

Other names 1

  • Dr. Mayowa Adefunke Adeekun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20110815000583 TX Practitioner - Internal MedicinePractitioner - Nephrology 6204004906 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Babajide Ogunlana, DPM, PLLC CurrentSince Mar 1, 2016 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Hni Medical Services Internal Medicine CurrentSince Nov 15, 2015 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Morristown Hamblen Hosp Past Accepting new patients

Locations

512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322

1500 S Dairy Ashford Rd
Ste 125
Houston, TX 77077
Phone (281) 558-9090

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

7514 Kingsley St
Houston, TX 77087
Phone (713) 644-8393

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

4502 Riverstone Blvd
Ste 1403
Missouri City, TX 77459
Phone (281) 778-5560

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

Interoperability endpoints

  • Direct secure messaging: oaderinto79190@directhoustonmethodist.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1841447992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 RIVERSTONE BLVD",
            "address_2": "STE 1403",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595210",
            "telephone_number": "713-239-4249",
            "fax_number": "281-978-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ST. JOSEPH PARKWAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028301",
            "telephone_number": "713-756-8537",
            "fax_number": "713-756-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADERINTO",
        "first_name": "OLUMAYOWA",
        "middle_name": "ADEFUNKE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "46518",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N8749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYOWA",
            "last_name": "ADEEKUN",
            "middle_name": "ADEFUNKE",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.