Individual provider Active NPI

Ayo Adu, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Victoria, TX
National Provider Identifier
1992966048
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
P1256 Issued in TX
Practice address
9410 NE Zac Lentz Pkwy
Suite 200
Victoria, TX 77904
Phone
(361) 582-7900
Fax
(361) 582-7902
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X P1256 TX Primary

Addresses

Primary practice location

9410 NE Zac Lentz Pkwy
Suite 200
Victoria, TX 77904

Mailing address

9410 NE Zac Lentz Pkwy
Suite 200
Victoria, TX 77904-3108
Phone (361) 582-7900

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120918000585 TX Practitioner - Sports MedicinePractitioner - Pain Management 1759578198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Pain Management
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9410 NE Zac Lentz Pkwy
Suite 200
Victoria, TX 77904-3108
Phone (361) 582-7900

Hospital & facility affiliations

  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023
  • Memorial Medical Center Hospital, Port Lavaca, TX, CCN 451356
  • Lavaca Medical Center Hospital, Hallettsville, TX, CCN 451376

Merit-based Incentive Payment System (MIPS)

Final score
96.25 of 100Reported as individual
Quality
78.08
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ayo Adu M D PLLC Sports Medicine CurrentSince Aug 1, 2012 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1926 Beverly Blvd
Los Angeles, CA 90057
Phone (213) 353-1140

9410 NE Zac Lentz Pkwy
Ste 200
Victoria, TX 77904
Phone (361) 582-7900

Interoperability endpoints

  • Direct secure messaging: adorr049@yourcarecommunity.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1992966048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 NE ZAC LENTZ PKWY",
            "address_2": "SUITE 200",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043108",
            "telephone_number": "361-582-7900",
            "fax_number": "361-582-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 NE ZAC LENTZ PKWY",
            "address_2": "SUITE 200",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904",
            "telephone_number": "361-582-7900",
            "fax_number": "361-582-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADU",
        "first_name": "AYO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "P1256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "1926 Beverly Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900572402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.