Individual provider Active NPI

Adeola Oluwase, MD

  • Family Medicine Physician
  • Cary, NC
National Provider Identifier
1962934307
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020-03169 Issued in NC
Practice address
351 Wellesley Trade LN Ste 100
Cary, NC 27519-5669
Phone
(919) 576-8100
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2020-03169 NC Primary

Addresses

Primary practice location

351 Wellesley Trade LN Ste 100
Cary, NC 27519-5669

Mailing address

351 Wellesley Trade LN Ste 100
Cary, NC 27519-5669

Other practice location 1

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

Other names 1

  • Dr. Adeola Awodele Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20201223000958 NC Practitioner - Family Practice 0143632760 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Sep 8, 2020 Accepting new patients
County of Wake Current Accepting new patients
County of Wake CurrentSince Jul 7, 2024 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Sep 8, 2020 Accepting new patients
County of Wake CurrentSince Jul 7, 2024 Accepting new patients

Locations

351 Wellesley Trade Ln
Ste 100
Cary, NC 27519
Phone (919) 576-8100

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1868

130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499

200 Swinburne St
Raleigh, NC 27610
Phone (919) 250-1120

10 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 250-4570

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1962934307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 WELLESLEY TRADE LN STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275195669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WELLESLEY TRADE LN STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275195669",
            "telephone_number": "919-576-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054699",
            "country_code": "US",
            "telephone_number": "919-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLUWASE",
        "first_name": "ADEOLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2020-03169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADEOLA",
            "last_name": "AWODELE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.