DR. ADETOKUNBO OLUKOREDE OMORUYI M.D NPI 1427275049

NPI Information

  • NPI: 1427275049
  • Provider Name: DR. ADETOKUNBO OLUKOREDE OMORUYI, M.D
  • Classification: Pediatrics - 2080P0205X
  • Specialization: Pediatric Endocrinology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 210 E GRAY STREET
    SUITE 803
    LOUISVILLE, KY
    ZIP 40202
  • Phone: (502) 629-8821

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NPI Details

DR. Adetokunbo Olukorede Omoruyi, M.D is a pediatric endocrinology pediatrics in Louisville, KY. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. DR. Adetokunbo Olukorede Omoruyi, M.D NPI is 1427275049. 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:

210 E GRAY STREET
SUITE 803
LOUISVILLE, KY
ZIP 40202-904
Phone: (502) 629-8821
Fax: (502) 629-8824

The NPI 1427275049 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 4/18/2007 and was last updated on 10/5/2012.

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
1208000000XPediatrics42024KENTUCKYNo
22080P0205XPediatricsPediatric Endocrinology35.086930OHIONo
32080P0205XPediatricsPediatric Endocrinology42024KENTUCKYYes

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
1200919290MEDICAIDINDIANA
27100062650MEDICAIDKENTUCKY
3K059760MEDICARE PINKENTUCKY
4P400029010MEDICARE PINKENTUCKY

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: 3/30/2025

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