Adebisi I Obafemi
Internal Medicine

Address: 5323 Harry Hines Blvd., Dallas, TX 75390-7201
Phone: 2146458600

Adebisi I Obafemi (NPI# 1336310333) 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) 1336310333
Entity Type Individual
Full Name Adebisi I Obafemi
Credential MD
Gender Male
Practice Address 5323 Harry Hines Blvd.
Dallas
TX 75390-7201
Practice Telephone 2146458600
Practice Fax Number 2146458601
Mailing Address P.o. Box 845347
Dallas
TX 75284-5347
Mailing Telephone 2146458600
Mailing Fax Number 2146458601
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2008-03-18
Last Update Date 2012-06-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 38034 AZ
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians N5292 TX

Other Provider Identifier

State Identifier Issuer Type Code
AZ P00646320 OTHER RAILROAD MEDICARE
AZ 337355 MEDICAID

Physician Overview

NPI 1336310333
PAC ID by PECOS 8224109004
Professional Enrollment ID I20120621000394
Full Name Adebisi I Obafemi
Organization Legal Name UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Gender M
Graduation Year 1987
Primary Specialty INTERNAL MEDICINE
Secondary Specialties FAMILY PRACTICE, PREVENTATIVE MEDICINE
Group Practice PAC ID 0648188250
Number of Group Practice Members 1801
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450044 UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR.

Office Location

Street Address 5323 HARRY HINES BLVD.
City DALLAS
State TX
Zip Code 75390-7201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801896543 Jerry Allen Powell Radiology 5323 Harry Hines Blvd., Dallas, TX 75390 2005-07-22
1679079735 Mary Ashley Qing Liu Student in an Organized Health Care Education/Training Program 5323 Harry Hines Blvd., Dallas, TX 75390 2018-04-05
1003315458 Casey Paul Lee Student in an Organized Health Care Education/Training Program 5323 Harry Hines Blvd., Dallas, TX 75390-7201 2018-02-12
1821596321 Ellie Prosser Hakim Psychologist 5323 Harry Hines Blvd., Dallas, TX 75390-9312 2018-01-30
1750810958 Hussam Eddin Banna Student in an Organized Health Care Education/Training Program 5323 Harry Hines Blvd., Dallas, Texas 75390-7208, Dallas, TX 75390-7208 2017-06-09
1447786694 Divya Rahul Shah Student in an Organized Health Care Education/Training Program 5323 Harry Hines Blvd., Dallas, TX 75390-9036 2017-05-10
1336518356 Cathlene A Cole Physician Assistant 5323 Harry Hines Blvd., Dallas, TX 75390-9257 2015-09-21
1275912347 Rasha Hussien Barham Student in an Organized Health Care Education/Training Program 5323 Harry Hines Blvd., Dallas, TX 75390-7208 2015-05-22
1124406475 Mallory Antoinette Jacobs Student in an Organized Health Care Education/Training Program 5323 Harry Hines Blvd., Dallas, TX 75390 2015-05-07
1851701692 Michael B Rankin Internal Medicine 5323 Harry Hines Blvd., Dallas, TX 75390-7201 2014-05-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831674340 Adwoa Aninkorah Nurse Practitioner Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 2018-10-01
1194212712 Christian Lobue Clinical Neuropsychologist 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 2018-04-19
1912439720 Linsey Lindley Student in an Organized Health Care Education/Training Program 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 2017-03-30
1043759418 Alyssa Macchiaroli Registered Nurse 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 2017-02-18
1609313980 Megan Rasmussen Bollner Physician Assistant 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 2017-01-25
1316325665 Andrew Bachinskas Student in an Organized Health Care Education/Training Program 5323 Harry Hines, Dallas, TX 75390 2015-05-07
1710306881 Peter Andrew Crisologo Podiatrist 533 Harry Hines Blvd, Dallas, TX 75390 2014-04-15
1336567973 Monika Kumar Student in an Organized Health Care Education/Training Program Division of Hematology-oncology Utsw, 5323 Harry Hines Blvd, Dallas, TX 75390 2014-04-01
1407273402 Courtney Kiersten Pollard Student in an Organized Health Care Education/Training Program 5323 Harry Hines Blvd Dept Of, Dallas, TX 75390 2014-03-27
1912334897 Ahmed Elhassan Internal Medicine 5323 Harry Hines Blvd # Mc9302, Dallas, TX 75390 2013-10-09
Find all providers in zip 75390

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245712421 Kokoro Body Therapies, Pllc Internal Medicine 14850 Montfort Dr Ste 181, Dallas, TX 75254-1450 2018-09-04
1033608740 Ahsan Riaz Md Pllc Internal Medicine 6207 Walnut Hill Ln, Dallas, TX 75230-5114 2018-05-08
1821590860 Kairos Health Clinics Internal Medicine 9101 Lbj Fwy Ste 310, Dallas, TX 75243-1901 2018-03-06
1033658174 Kidney Care of Dallas Pllc Internal Medicine 10611 Garland Rd Ste 105, Dallas, TX 75218-2680 2017-02-22
1285178269 Jaya Vanjani Internal Medicine 18732 Greenside Dr, Dallas, TX 75252-2691 2016-12-11
1306293089 Leena Pathikonda Internal Medicine 441 N. Beckley Avenue, Dallas, TX 75203 2016-05-23
1932565637 Michael Caberto Internal Medicine 12221 Merit Dr #1500, Dallas, TX 75251-4913 2016-01-11
1033589346 Sanders Johnston & Associates, Pllc Internal Medicine 7515 Greenville Ave Ste 600, Dallas, TX 75231-3819 2015-09-29
1427436179 John Martin Whitfill Internal Medicine 7040 Tokalon Dr., Dallas, TX 75214 2015-05-14
1508262726 Palindrome Medical, Pllc Internal Medicine 4310 Buena Vista St Apt 18, Dallas, TX 75205-4472 2014-11-16
Find all providers in DALLAS

Competitor

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City DALLAS
Zip Code 75390

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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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