Olufunmilola G Adeleye, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Phoenix, AZ
NPI 1851147797 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1851147797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 755 E McDowell Rd FL 2
Phoenix, AZ 85006-2506 - Phone
- (602) 521-3250
- NPI assigned
- Apr 30, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240620000549 | AZ | Order and Referring Only - Orthopedic Surgery |
6305389297 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
755 E McDowell Rd FL 2
Phoenix, AZ 85006-2506
Mailing address
755 E McDowell Rd FL 2
Phoenix, AZ 85006-2506
Phone (602) 521-3250
Other names
- Dr. Funmi G Adeleye
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.