Individual provider Active NPI

Oyeyemi O Adeniran, NP

  • Urology Physician
  • Waxahachie, TX
National Provider Identifier
1922779677
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
1036743 Issued in TX
Practice address
20 N Gate Dr
Waxahachie, TX 75165-2378
Phone
(214) 980-1920
Fax
(214) 980-1686
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1036743 TX
Urology Physician 208800000X 1036743 TX Primary

Addresses

Primary practice location

20 N Gate Dr
Waxahachie, TX 75165-2378

Mailing address

20 N Gate Dr
Waxahachie, TX 75165-2378
Phone (214) 980-1920

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313003755 TX Order and Referring Only - Nurse Practitioner 0446772909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cuo Medical Services CurrentSince Sep 24, 2023 Accepting new patients
Star Urology of Texas, P.a. Urology PastSince Sep 24, 2023 Accepting new patients

Locations

20 N Gate Dr
Waxahachie, TX 75165
Phone (214) 980-1920

Organizations & group practices 2

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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1922779677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N GATE DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652378",
            "telephone_number": "214-980-1920",
            "fax_number": "214-980-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N GATE DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652378",
            "telephone_number": "214-980-1920",
            "fax_number": "214-980-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENIRAN",
        "first_name": "OYEYEMI",
        "middle_name": "O",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1036743",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "1036743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.