Individual provider Active NPI

Muyiwa Adedokun, M.D.

  • Surgery Physician
  • Murfreesboro, TN
National Provider Identifier
1992803498
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
31108 Issued in TN
Practice address
1130 Dow St
Murfreesboro, TN 37130-2486
Phone
(615) 867-2700
Fax
(615) 867-2757
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 31108 TN Primary

Addresses

Primary practice location

1130 Dow St
Murfreesboro, TN 37130-2486

Mailing address

1005 Dr DB Todd Jr Blvd
Nashville, TN 37208-3501
Phone (615) 327-5944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120419000516 TN Practitioner - General Surgery 8729249776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Meharry Medical College School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Hospital AuthorityGroup PAC ID 3779775432, 50 clinicians

Practice addresses (Care Compare)

1818 Albion St
Nashville, TN 37208-2918
Phone (615) 341-4000

Hospital & facility affiliations

  • Metro Nashville General Hospital Hospital, Nashville, TN, CCN 440111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31108TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Hospital Authority CurrentSince Aug 14, 2024 Accepting new patients

Locations

131 French Landing Dr
Ste B
Nashville, TN 37228
Phone (615) 256-6210

4007 Clarksville Pike
Nashville, TN 37218
Phone (615) 341-4968

4007 Clarksville Pike
Ste 200
Nashville, TN 37218
Phone (615) 341-4968

1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000

Interoperability endpoints

  • Direct secure messaging: muyiwa.adedokun.1@4694.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1992803498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 DR DB TODD JR BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372083501",
            "telephone_number": "615-327-5944",
            "fax_number": "615-327-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 DOW ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302486",
            "telephone_number": "615-867-2700",
            "fax_number": "615-867-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEDOKUN",
        "first_name": "MUYIWA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "31108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.