EROMOSELE ANTHONY OTOADESE MD NPI 1013960129

NPI Information

  • NPI: 1013960129
  • Provider Name: EROMOSELE ANTHONY OTOADESE, MD
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • Address: 1753 W RIDGEWAY AVE STE 111
    WATERLOO, IA
    ZIP 50701
  • Phone: (219) 233-6211

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NPI Details

Eromosele Anthony Otoadese, MD is a thoracic surgery cardiothoracic vascular surgery in Waterloo, IA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. Eromosele Anthony Otoadese, MD NPI is 1013960129. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1753 W RIDGEWAY AVE STE 111
WATERLOO, IA
ZIP 50701-588
Phone: (219) 233-6211
Fax: (319) 233-2164

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • Chemical destruction of first incompetent vein of arm or leg using imaging guidance (HCPCS:36482)
  • Ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93979)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access (HCPCS:93985)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 5/18/2006 and was last updated on 4/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)28663IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1421417307C4OTHERIOWAJOHN DEERE HEALTH INS PLA
246994OTHERIOWAWELLMARK INS PLAN
32091736MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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