Active NPI
Omobolanle Adetimehin, MD
- Rheumatology Physician
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 94-12557
- Practice address
- 3901 Rainbow Blvd # Ms 2026
Kansas City, KS 66160-8500 - Phone
- (913) 588-6008
- Fax
- (913) 588-3987
- NPI assigned
- Jul 16, 2019
- Last updated
- Jul 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 77007-20 | WI | |
| Rheumatology Physician | 207RR0500X | 94-12557 | KS | Primary |
| Hospitalist Physician | 208M00000X | 77007 | WI |
Addresses
Primary practice location
3901 Rainbow Blvd # Ms 2026
Kansas City, KS 66160-8500
Mailing address
3901 Rainbow Blvd # Ms 2026
Kansas City, KS 66160-8500
Phone (913) 588-6008
Other practice location 1
1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-7746
Other practice location 2
1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | oadetimehin1751001@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Northwest Wisconsin Region Inc
Practice addresses (Care Compare)
1221 Whipple St
Eau Claire, WI 54703-5270
Phone (715) 838-3806
13025 8TH St
Osseo, WI 54758-7634
Phone (715) 597-3121
1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222
1501 Thompson St
Bloomer, WI 54724-1257
Phone (715) 568-2000
733 W Clairemont Ave
Eau Claire, WI 54701-6101
Phone (715) 838-5222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77007-20 | WI | MD | Internal Medicine Physician |
| 94-12557 | KS | MD | Rheumatology Physician |
| 77007 | WI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1222 E Woodland Ave
Barron, WI 54812
Phone (715) 537-3166
1501 Thompson St
Bloomer, WI 54724
Phone (715) 568-2000
1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531
13025 8th St
Osseo, WI 54758
Phone (715) 597-2575
Interoperability endpoints
- oadetimehin1751001@ehrdirect.mayoclinicmsg.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mayo Clinic Health System-Menomonie
- Critical Access Hospital
- Menomonie, WI
- NPI 1154372944
-
dba Mayo Clinic Health System in Eau Claire
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
-
dba Mayo Clinic Health System-Bloomer
- Critical Access Hospital
- Bloomer, WI
- NPI 1700837812
-
dba Mayo Clinic Health System-Barron
- Critical Access Hospital
- Barron, WI
- NPI 1740239557
-
dba Mayo Clinic Health System-Oakridge, Inc.
- Critical Access Hospital
- Osseo, WI
- NPI 1912958026
-
dba Mayo Clinic Health System-Oakridge
- Multi-Specialty Clinic/Center
- Osseo, WI
- NPI 1083140990
-
dba Mayo Clinic Health System - Oakridge in Mondovi
- Rural Health Clinic/Center
- Mondovi, WI
- NPI 1174116669
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mayo Clinic Health System in Eau Claire
- General Acute Care Hospital
- Eau Claire, WI
- NPI 1629027578
-
dba Mayo Clinic Health System-Bloomer
- Critical Access Hospital
- Bloomer, WI
- NPI 1700837812
-
dba Mayo Clinic Health System-Barron
- Critical Access Hospital
- Barron, WI
- NPI 1740239557
-
dba Mayo Clinic Health System-Oakridge, Inc.
- Critical Access Hospital
- Osseo, WI
- NPI 1912958026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1871145151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD # MS 2026",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608500",
"telephone_number": "913-588-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD # MS 2026",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608500",
"telephone_number": "913-588-6008",
"fax_number": "913-588-3987"
}
],
"practiceLocations": [
{
"address_1": "1555 Long Pond Rd",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146264122",
"country_code": "US",
"telephone_number": "585-723-7746",
"fax_number": "585-723-7834",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 Bellinger St",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547035222",
"country_code": "US",
"telephone_number": "715-838-5222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADETIMEHIN",
"first_name": "OMOBOLANLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "77007-20",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "KS",
"license": "94-12557",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "77007",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "oadetimehin1751001@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "1400 Bellinger St",
"city": "Eau Claire",
"state": "WI",
"country_code": "US",
"postal_code": "547035222",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.