BOLAJI KEHINDE ADETIBA MSN-ANP
NPI 1568700979
Nurse Practitioner - Adult Health in Dallas, TX

NPI Status: Active since January 18, 2013

Contact Information

9 MEDICAL PKWY
STE 308
DALLAS, TX
ZIP 75234
Phone: (972) 888-7240
Fax: (972) 888-7285

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  • Individual
  • Female
  • Nurse Practitioner
  • Adult Health
  • Medicare Quality Reporting

About BOLAJI ADETIBA

This page provides the complete NPI Profile along with additional information for Bolaji Adetiba, a provider established in Dallas, Texas with a medical specialization in Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1568700979 assigned on January 2013. The practitioner's primary taxonomy code is 363LA2200X with license number 731957 (TX). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1568700979
Provider Name
BOLAJI KEHINDE ADETIBA MSN-ANP
Gender
Female
Entity Type
Individual
Location Address
9 MEDICAL PKWY STE 308 DALLAS, TX 75234
Location Phone
(972) 888-7240
Location Fax
(972) 888-7285
Mailing Address
PO BOX 2932 YUMA, AZ 85366
Mailing Phone
(928) 276-4477
Mailing Fax
(972) 888-7285
Is Sole Proprietor?
No
Enumeration Date
01-18-2013
Last Update Date
12-06-2017
Code Navigator

A nurse practitioner (NP) like Bolaji Adetiba is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Adult Health

Taxonomy Code
363LA2200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
731957
License State
TX

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Care Plan 61% 38
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Chronic Care and Preventative Care Management for Empaneled PatientsYesN/A
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
e-Prescribing 95% 115
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Patient-Specific Education 12% 51
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Influenza Immunization 7% 59
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Provide Patient Access 29% 51
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568700979, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 1 + 4 + 0 + 0 + 9 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1568700979.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
9 MEDICAL PKWY, SUITE 305
DALLAS, TX 75234
Clinic/Center (Health Service)
9 MEDICAL PKWY, SUITE 209
DALLAS, TX 75234
Surgery (Plastic and Reconstructive Surgery)
9 MEDICAL PKWY, SUITE 102
DALLAS, TX 75234
Internal Medicine (Cardiovascular Disease)
9 MEDICAL PKWY, PLAZA 4, SUITE 207
DALLAS, TX 75234
Dermatology
9 MEDICAL PKWY, SUITE 105
DALLAS, TX 75234
Podiatrist (Foot Surgery)
9 MEDICAL PKWY, PROFESSIONAL PLAZA 4, SUITE 304
FARMERS BRANCH, TX 75234
Physician Assistant
9 MEDICAL PKWY
DALLAS, TX 75234
Surgery
9 MEDICAL PKWY, PLAZA 4, SUITE 301
DALLAS, TX 75234
Specialist
9 MEDICAL PKWY, PLAZA 4 307
DALLAS, TX 75234
Pain Medicine (Interventional Pain Medicine)
9 MEDICAL PKWY, STE 107
DALLAS, TX 75234
Surgery
9 MEDICAL PKWY, SUITE 301
DALLAS, TX 75234
Orthopaedic Surgery
9 MEDICAL PKWY, SUITE 205
DALLAS, TX 75234
Nurse Practitioner (Adult Health)
9 MEDICAL PKWY, PLAZA 4 STE. 301
DALLAS, TX 75234
Specialist
9 MEDICAL PKWY, SUITE 303
DALLAS, TX 75234
Clinic/Center (Primary Care)
9 MEDICAL PKWY, PLAZA 4 , SUITE 308
DALLAS, TX 75234
Thoracic Surgery (Cardiothoracic Vascular Surgery)
9 MEDICAL PKWY, SUITE 308
DALLAS, TX 75234
Internal Medicine
9 MEDICAL PKWY, STE 308
DALLAS, TX 75234
Internal Medicine
9 MEDICAL PKWY, STE 308
DALLAS, TX 75234
Clinic/Center (Ambulatory Surgical)
9 MEDICAL PKWY, STE 308
DALLAS, TX 75234
Physical Medicine & Rehabilitation
9 MEDICAL PKWY, STE 308
DALLAS, TX 75234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568700979, enumerated as an "individual" on January 18, 2013.

The provider is located at 9 MEDICAL PKWY STE 308 DALLAS, TX 75234 and the phone number is (972) 888-7240.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.