OLUREMI C ADESIDA M.D.
NPI 1346265808
Pediatrics - Neonatal-Perinatal Medicine in Fort Wayne, IN

Active since July 13, 2006PECOS Enrolled
11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 373-9965(260) 458-5664 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 21, 2021, Jul 9, 2020 (2 updates tracked since 2020).

About Oluremi C Adesida M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLUREMI C ADESIDA M.D. (NPI 1346265808) is an individual neonatal-perinatal medicine provider in Fort Wayne, Indiana, licensed in Illinois (036-116960) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346265808
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameOLUREMI C ADESIDACredential: M.D.
Location Address11115 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701
Mailing Address1234 E Dupont Rd, Suite 1Fort Wayne, IN 46825-1545 · (260) 373-9700 · Fax (260) 373-9740
Fax(260) 458-5664
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateApril 21, 20212 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
NPI 1346265808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses Licensed in IL · 036-116960 Licensed in IN · 01068108A
Definition

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.

Also ListedPediatricsTaxonomy 208000000X · License 036-116960 (IL), 01068108A (IN)
11115 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

Other Identifiers 4

Other000000655415IN · Anthem
Medicaid001289011PA
Medicaid200979870IN
Medicaid8466700NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Oluremi C Adesida M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR, DEPT. OF NEONATOLOGY
FORT WAYNE, IN 46845
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Genetic Counselor, MS
11115 PARKVIEW PLAZA DR, ATTN: SARAH KING
FORT WAYNE, IN 46845
Nurse Practitioner
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Nurse Practitioner (Family)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346265808, enumerated as an "individual" on July 13, 2006.

The provider is located at 11115 PARKVIEW PLAZA DR FORT WAYNE, IN 46845 and the phone number is (260) 373-9965.

Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.