Provider Type Icon

DR. OLUSEGUN ADESANYA ODUKOYA M.D NPI 1235387416


NPI Information

NPI: 1235387416
Provider Name: DR. OLUSEGUN ADESANYA ODUKOYA, M.D
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

PECOS Registration: Yes

Address:
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-3944
Get Directions

DR. Olusegun Adesanya Odukoya, M.D is an adult medicine family medicine in Cleveland, OH with 34 years of experience. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. Olusegun Adesanya Odukoya, M.D NPI is 1235387416. 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:

11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106-716
Phone: (216) 844-3944
Fax: (216) 844-8974

The NPI 1235387416 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

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.

  • Hemoglobin a1c level (HCPCS:83036)

The enumeration date for this NPI number is 8/30/2008 and was last updated on 3/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineTP891KENTUCKYNo
2207QA0505XFamily MedicineAdult Medicine4301093350MICHIGANNo
3207QA0505XFamily MedicineAdult Medicine35.120134OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000637135OTHERKENTUCKYANTHEM BCBS
27100104620MEDICAIDKENTUCKY
3000000637130OTHERKENTUCKYANTHEM BCBS
43009952MEDICAIDOHIO
5P00773148OTHERKENTUCKYRR MEDICARE

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.