Active NPI
Tolulope Kofi Akinyemi, M.D.
- Vascular Surgery Physician
- Portsmouth, NH
National Provider Identifier
1871759480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- LT-3628
- Practice address
- 200 Griffin Rd
Suite 6
Portsmouth, NH 03801-7145 - Phone
- (603) 610-4430
- Fax
- (603) 610-4432
- NPI assigned
- Aug 3, 2008
- Last updated
- Mar 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD441385 | PA | |
| Vascular Surgery Physician | 2086S0129X | LT-3628 | NH | Primary |
Addresses
Primary practice location
200 Griffin Rd
Suite 6
Portsmouth, NH 03801-7145
Mailing address
200 Griffin Rd
Suite 6
Portsmouth, NH 03801-7145
Phone (603) 610-4430
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30126260 | Other | PA | AMERIHEALTH MERCY - WMG |
| 1610609 | Other | PA | GATEWAY |
| 102742655 | Medicaid | PA | |
| 2719120 | Other | PA | HIGHMARK BLUE SHIELD |
| 055948200 | Medicaid | MD |
Other names 1
- Dr. Tolu Kofi Akinyemi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT-3628 | NH | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1871759480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GRIFFIN RD",
"address_2": "SUITE 6",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017145",
"telephone_number": "603-610-4430",
"fax_number": "603-610-4432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GRIFFIN RD",
"address_2": "SUITE 6",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017145",
"telephone_number": "603-610-4430",
"fax_number": "603-610-4432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINYEMI",
"first_name": "TOLULOPE",
"middle_name": "KOFI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-03",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD441385",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NH",
"license": "LT-3628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY - WMG",
"identifier": "30126260",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1610609",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102742655",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "2719120",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055948200",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TOLU",
"last_name": "AKINYEMI",
"middle_name": "KOFI",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.