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AYO ADU M D PLLC
NPI 1508126442
Family Medicine - Sports Medicine in Victoria, TX

Active since May 25, 2012
9410 NE ZAC LENTZ PARKWAY, SUITE 200, VICTORIA, TX 77904(361) 582-7900(361) 582-7902 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ayo Adu M D Pllc NPPES

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

AYO ADU M D PLLC (NPI 1508126442), doing business as Adu Sports Medicine Clinic, is a healthcare organization registered as a sports medicine in Victoria, Texas and active in the NPI registry since May 2012. The organization lists Ayo Adu, Physician, as its authorized official.

NPPES Registry Identity

NPI1508126442
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameAYO ADU M D PLLC
Location Address9410 NE ZAC LENTZ PARKWAY, SUITE 200Victoria, TX 77904
Mailing Address9410 Ne Zac Lentz Parkway, Suite 200Victoria, TX 77904 · (361) 582-7900 · Fax (361) 582-7902
Phone(361) 582-7900
Fax(361) 582-7902
Organization SubpartNo
Authorized OfficialAyo AduPhysician · (361) 582-7900
Enumeration DateMay 25, 2012
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1508126442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in TX · P1256
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
9410 NE ZAC LENTZ PARKWAY, Victoria, TX 77904
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Other Names 1

Doing Business AsAdu Sports Medicine Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ayo Adu M D Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ayo Adu M D PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ayo Adu, M.D.
Sports Medicine
NPI 1992966048
9410 NE ZAC LENTZ PKWY SUITE 200
Victoria, TX 77904
(361) 582-7900
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ayo Adu M D PLLC's NPI number?

The NPI number for Ayo Adu M D PLLC is 1508126442. It was assigned to this organization in the NPPES registry on May 25, 2012. The provider is doing business as Adu Sports Medicine Clinic.

Where is Ayo Adu M D PLLC located?

Ayo Adu M D PLLC is located at 9410 NE Zac Lentz Parkway Suite 200, Victoria, TX 77904. The listed phone number is (361) 582-7900.

What is Ayo Adu M D PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Ayo Adu M D PLLC enrolled in Medicare?

Yes. Ayo Adu M D PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ayo Adu M D PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Sports Medicine) reassigns their Medicare billing to Ayo Adu M D PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ayo Adu M D PLLC was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.