NPIMap

Individual provider Active NPI

Adedeji Oluwatosin Sodeinde, M.D.

  • Nephrology Physician
  • Elyria, OH
National Provider Identifier
1982047205
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35131696 Issued in OH
Practice address
1170 E Broad St Ste 102
Elyria, OH 44035-6351
Phone
(440) 323-3574
Fax
(440) 323-3552
NPI assigned
Apr 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35131696 OH Primary

Addresses

Primary practice location

1170 E Broad St Ste 102
Elyria, OH 44035-6351

Mailing address

1170 E Broad St Ste 102
Elyria, OH 44035-6351
Phone (440) 323-3574

Other practice location 1

3600 Kolbe Rd Ste 13
Lorain, OH 44053-1652
Phone (440) 282-5701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180810002921 OH Practitioner - Nephrology 1355583931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Nephrology IncGroup PAC ID 6002704913, 6 clinicians

Practice addresses (Care Compare)

1170 E Broad St
Suite 102
Elyria, OH 44035-6351
Phone (440) 323-3574

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.88 of 100Reported as group
Quality
97.66
Improvement activities
40
Cost
72.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Nephrology, Inc Nephrology CurrentSince Aug 1, 2018 Accepting new patients
Americare Kidney Institute LLC Nephrology PastSince Aug 1, 2018 Accepting new patients

Locations

100 Cooper Foster Park Rd
Ste 1
Amherst, OH 44001
Phone (440) 282-5701

1170 E Broad St
Ste 102
Elyria, OH 44035
Phone (440) 323-3574

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBBACA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBIIAD
  • Direct secure messaging: asodeinde37953@ehrdirect.uhhospitals.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1982047205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 E BROAD ST STE 102",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356351",
            "telephone_number": "440-323-3574",
            "fax_number": "440-323-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 E BROAD ST STE 102",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356351",
            "telephone_number": "440-323-3574",
            "fax_number": "440-323-3552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Kolbe Rd Ste 13",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "440531652",
            "country_code": "US",
            "telephone_number": "440-282-5701",
            "fax_number": "440-282-5808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SODEINDE",
        "first_name": "ADEDEJI",
        "middle_name": "OLUWATOSIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35131696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.