OLUREMI C ADESIDA M.D. NPI 1346265808

NPI Information

NPI: 1346265808
Provider Name: OLUREMI C ADESIDA, M.D.
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

PECOS Registration: Yes

Address:
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN
ZIP 46845
Phone: (260) 373-9965
Get Directions

Oluremi C Adesida, M.D. is a neonatal-perinatal medicine pediatrics in Fort Wayne, IN. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Oluremi C Adesida, M.D. NPI is 1346265808. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11115 PARKVIEW PLAZA DR
FORT WAYNE, IN
ZIP 46845-701
Phone: (260) 373-9965
Fax: (260) 458-5664

The NPI 1346265808 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 enumeration date for this NPI number is 7/13/2006 and was last updated on 4/21/2021.

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
1	208000000X	Pediatrics		036-116960	ILLINOIS	No
2	208000000X	Pediatrics		01068108A	INDIANA	No
3	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	036-116960	ILLINOIS	Yes
4	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	01068108A	INDIANA	No

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
1	000000655415	OTHER	INDIANA	ANTHEM
2	001289011	MEDICAID	PENNSYLVANIA
3	200979870	MEDICAID	INDIANA
4	8466700	MEDICAID	NEW JERSEY

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

NPI Synchronization or Removal

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