NPIMap

Individual provider Active NPI

Adetola A. Otesile, MD

  • Hospitalist Physician
  • Owensboro, KY
National Provider Identifier
1982086161
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
01083034A Issued in IN
Practice address
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone
(270) 417-4700
Fax
(270) 417-4709
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51553 KY
Hospitalist Physician 208M00000X 01083034A IN Primary

Addresses

Primary practice location

1201 Pleasant Valley Rd
Owensboro, KY 42303

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 691-8070

Other practice location 1

900 S Limestone Ctw 304
Lexington, KY 40536-0293
Phone (859) 323-9918

Other identifiers 1

IdentifierTypeStateIssuer
7100552190MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20191030003593 IN Practitioner - HospitalistPractitioner - Internal Medicine 9032470976 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7338

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115
  • Ferrell Hospital Community Foundations Hospital, Eldorado, IL, CCN 141324
  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51553KYMDInternal Medicine Physician
01083034AINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Oct 17, 2019 Accepting new patients
Deaconess Hospital Inc CurrentSince Aug 1, 2020 Accepting new patients
Deaconess Hospital, Inc Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Oct 17, 2019 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Oct 17, 2019 Accepting new patients
Uk Healthcare Past Accepting new patients

Locations

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: aotesile@unionhealth.cernerdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1982086161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-691-8070",
            "fax_number": "270-691-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PLEASANT VALLEY RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-417-4700",
            "fax_number": "270-417-4709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S Limestone Ctw 304",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360293",
            "country_code": "US",
            "telephone_number": "859-323-9918",
            "fax_number": "859-323-1197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTESILE",
        "first_name": "ADETOLA",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "51553",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01083034A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100552190",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.