Individual provider Active NPI

Akinfemi Samson Afolabi, M.D.

  • Nephrology Physician
  • Oregon, OH
National Provider Identifier
1992782965
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35 078982 Issued in OH
Practice address
2702 Navarre Ave
Suite 201
Oregon, OH 43616-3223
Phone
(419) 698-8560
Fax
(419) 698-8570
NPI assigned
Dec 29, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 35 078982 OH Primary

Addresses

Primary practice location

2702 Navarre Ave
Suite 201
Oregon, OH 43616-3223

Mailing address

2702 Navarre Ave
Suite 201
Oregon, OH 43616-3223
Phone (419) 698-8560

Other identifiers 1

IdentifierTypeStateIssuer
2218657MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120125000706 OH Practitioner - NephrologyPractitioner - Internal Medicine 5294750113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Services of Toledo, IncGroup PAC ID 2860417789, 3 clinicians

Practice addresses (Care Compare)

2600 Navarre Ave
North Building 4TH Floor
Oregon, OH 43616-3207
Phone (419) 972-3200

2702 Navarre Ave
Suite 201
Oregon, OH 43616-3224
Phone (419) 698-8560

2801 Bay Park Dr
Bay
Oregon, OH 43616-4920
Phone (419) 690-7979

3310 Dustin Rd
Oregon, OH 43616-3302
Phone (419) 697-2191

5201 Airport Hwy
Toledo, OH 43615-6800
Phone (419) 214-0540

611 Lemoyne Rd
Northwood, OH 43619-1811
Phone (419) 698-3423

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35 078982OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Services of Toledo, Inc Nephrology CurrentSince Feb 1, 2002 Accepting new patients
Desoto Dialysis LLC PastSince Mar 1, 2021 Accepting new patients

Locations

2702 Navarre Ave
Ste 201
Oregon, OH 43616
Phone (419) 380-2627

Interoperability endpoints

  • Direct secure messaging: aafolabi56736@direct.bsmhealth.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 9

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992782965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 NAVARRE AVE",
            "address_2": "SUITE 201",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163223",
            "telephone_number": "419-698-8560",
            "fax_number": "419-698-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 NAVARRE AVE",
            "address_2": "SUITE 201",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163223",
            "telephone_number": "419-698-8560",
            "fax_number": "419-698-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFOLABI",
        "first_name": "AKINFEMI",
        "middle_name": "SAMSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35 078982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2218657",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.