Dr. Olurotimi Olusegun Adekolu
Hospitalist

Address: 20 York St, Cb-2041, New Haven, CT 06510-3220
Phone: 2036884748

Dr. Olurotimi Olusegun Adekolu (NPI# 1073871372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1073871372
Entity Type Individual
Full Name Dr. Olurotimi Olusegun Adekolu
Credential M.B.CH.B
Gender Male
Practice Address 20 York St, Cb-2041
New Haven
CT 06510-3220
Practice Telephone 2036884748
Practice Fax Number 2036884740
Mailing Address 20 York St, Cb-2041
New Haven
CT 06510-3220
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2012-04-25
Last Update Date 2016-09-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 54400 CT
Yes 208M00000X Hospitalist Allopathic & Osteopathic Physicians 54400 CT

Physician Overview

NPI 1073871372
PAC ID by PECOS 3971819335
Professional Enrollment ID I20150831001065
Full Name Olurotimi Adekolu
Organization Legal Name NORTHEAST MEDICAL GROUP INC
Phone Number 2037895946
Gender M
Graduation Year 2005
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 1254233836
Number of Group Practice Members 925
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070022 YALE-NEW HAVEN HOSPITAL
070005 WATERBURY HOSPITAL

Office Location

Street Address 20 YORK ST, CB-2041
City NEW HAVEN
State CT
Zip Code 06510-3220

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881650364 Ryan J Donovan Physician Assistant 20 York St, Cb-2041, New Haven, CT 06510-3220 2006-04-25
1538636154 Rachel Kurecka Physician Assistant 20 York St, Cb-2041, New Haven, CT 06510-3220 2018-11-01
1942783733 Julia Chiara Gotthardt Internal Medicine 20 York St, Cb-2041, New Haven, CT 06510-3220 2018-09-08
1932551546 Hannah Brady Physician Assistant 20 York St, Cb-2041, New Haven, CT 06510-3220 2016-07-07
1609244060 Erika Lynn Baranowski Physician Assistant 20 York St, Cb-2041, New Haven, CT 06510-3220 2015-09-02
1265813216 Chengwei Peng Student in an Organized Health Care Education/Training Program 20 York St, Cb-2041, New Haven, CT 06510 2015-06-16
1609255223 James Joseph Connolly Student in an Organized Health Care Education/Training Program 20 York St, Cb-2041, Yale-new Haven Hospital, New Haven, CT 06510 2015-05-28
1861801623 Stacey Larosa Nurse Practitioner 20 York St, Cb-2041, New Haven, CT 06510-3220 2014-08-06
1336557305 Sarah Palleschi Physician Assistant 20 York St, Cb-2041, Cb-2041, New Haven, CT 06510-3220 2014-07-23
1073927737 Marc Daniel Musco Physician Assistant 20 York St, Cb-2041, New Haven, CT 06510-3220 2014-06-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639652779 Laura Goldblum Social Worker 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 2018-09-14
1477049138 Joseph Lawrence Earles Otolaryngology Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 2018-07-06
1104316405 Emma Sophie Taylor-salmon Student in an Organized Health Care Education/Training Program 20 York Street - Pediatrics, New Haven, CT 06510 2018-05-14
1407346703 Eric Isaac Elliott Student in an Organized Health Care Education/Training Program 20 York Street Ynhh - Department of Internal Medicine, New Haven, CT 06510 2018-05-14
1821588070 Tarek Kamal Khader Student in an Organized Health Care Education/Training Program 20 York Street - Department of Obstetrics & Gynecology, New Haven, CT 06510 2018-05-14
1508356759 Rebecca Anne Beagan Student in an Organized Health Care Education/Training Program 20 York Street- Pediatrics, New Haven, CT 06510 2018-05-14
1376033563 Wael S Ibrahim Student in an Organized Health Care Education/Training Program 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 2018-05-14
1821588138 Molly Ann Markowitz Student in an Organized Health Care Education/Training Program 20 York Street Ynhh and Yale Pediatrics Department, New Hven, CT 06510 2018-05-11
1174013494 Naomi Naa-adjeley Adjei Student in an Organized Health Care Education/Training Program 20 York Street Ynhh - Tompkins 226, New Haven, CT 06510 2018-05-11
1891297727 Dylan Ryan Physician Assistant 20 York St # 218, New Haven, CT 06510 2018-03-07
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316273485 Jennifer Brook Hospitalist 20 York Street (cb-2041), New Haven, CT 06510 2009-10-26
1124181904 Keith Swan Hospitalist 20 York St # 2041, Ynh Medical Services PC, New Haven, CT 06504-8900 2006-12-19
1558306340 Anna Rodonski Hospitalist 20 York Steet, Cb-2041, New Haven, CT 06510 2006-06-17
1316303332 Rami Ahmad Hospitalist 20 York St, New Haven, CT 06510-3220 2016-01-06
1598146607 Jonathan Nicholas Pumilia Hospitalist 20 York St, New Haven, CT 06510 2015-06-15
1578942215 Blerta Green Hospitalist 789 Howard Ave, Ynhh PCc York St. Campus, New Haven, CT 06519-1304 2015-05-27
1578942504 Rohan Arjun Bhojwani Hospitalist 20 York Street, Cb-2041, New Haven, CT 06510-3220 2015-05-22
1144636879 Mohamad Firas Barbour Hospitalist 20 York St, New Haven, CT 06510-3220 2014-07-02
1407267925 Mohsin Chowdhury Hospitalist 20 York St, Yale-new Haven Hosptial, New Haven, CT 06510-3220 2014-05-19
1770908360 Mikheil Verulashvili Hospitalist 20 York Street, Cb-2041, New Haven, CT 06510-3220 2014-02-19
Find all providers in NEW HAVEN

Competitor

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City NEW HAVEN
Zip Code 06510

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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