Active NPI
Oluwayemisi A Adesida, MD
- Internal Medicine Physician
- Shreveport, LA
National Provider Identifier
1992192025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 312549
- Practice address
- 1501 Kings Hwy
Med/Peds
Shreveport, LA 71103-4228 - Phone
- (318) 813-2528
- NPI assigned
- Apr 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 312549 | LA | |
| Internal Medicine Physician | 207R00000X | 312549 | LA | Primary |
Addresses
Primary practice location
1501 Kings Hwy
Med/Peds
Shreveport, LA 71103-4228
Mailing address
1501 Kings Hwy
Med/Peds
Shreveport, LA 71103-4228
Phone (318) 813-2528
Other names 1
- Yemisi Adesida
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Shreveport | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimensions Healthcare Associates Inc | Current | Accepting new patients | |
| Dimensions Healthcare Associates, Inc. | Current | Accepting new patients | |
| Dimensions Health Associates Dba University of Maryland Capital Region | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010
7350 Van Dusen Rd
Ste 260
Laurel, MD 20707
Phone (301) 206-2222
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
Interoperability endpoints
- oluwayemisi.adesidamd.p2@direct.msmg.nextgenshare.com
Organizations & group practices 4
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.
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-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1992192025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 KINGS HWY",
"address_2": "MED/PEDS",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-813-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 KINGS HWY",
"address_2": "MED/PEDS",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-813-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADESIDA",
"first_name": "OLUWAYEMISI",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-15",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "312549",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "312549",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Shreveport",
"affiliation": "N",
"endpointDescription": "URL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1501 Kings Hwy",
"address_2": "Med/Peds",
"city": "Shreveport",
"state": "LA",
"country_code": "US",
"postal_code": "711034228",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "YEMISI",
"last_name": "ADESIDA",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.