Active NPI
Ayo Adu, M.D.
- Sports Medicine (Family Medicine) Physician
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- P1256
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- 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
- Memorial Medical Center
- Lavaca Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.25 of 100
- Quality
- 78.08
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ayo Adu M D PLLC | Sports Medicine | Current | 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
- 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.
-
- Sports Medicine (Family Medicine) Physician
- Victoria, TX
- NPI 1508126442
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Critical Access Hospital
- Hallettsville, TX
- NPI 1992767511
-
- Critical Access Hospital
- Port Lavaca, TX
- NPI 1689630865
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.