Active NPI
Adeola O Otinniyi
- Contractor
- Washington, DC
National Provider Identifier
1982303145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 4130 Hunt PL NE
Washington, DC 20019-3565 - Phone
- (202) 388-4300
- NPI assigned
- Feb 27, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
4130 Hunt PL NE
Washington, DC 20019-3565
Mailing address
8059 Gabriels CT
Jessup, MD 20794-3959
Phone (240) 877-3129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD-10272877194 | Other | MD | DRIVER |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1982303145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8059 GABRIELS CT",
"city": "JESSUP",
"state": "MD",
"postal_code": "207943959",
"telephone_number": "240-877-3129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 HUNT PL NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193565",
"telephone_number": "202-388-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTINNIYI",
"first_name": "ADEOLA",
"middle_name": "O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER",
"identifier": "MD-10272877194",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.