Ayo Adu


Address: 9410 Ne Zac Lentz Pkwy, Suite 200, Victoria, TX 77904-3108

Ayo Adu (NPI# 1992966048, PAC ID# 1759578198) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1992966048
PAC ID by PECOS 1759578198
Professional Enrollment ID I20120918000585
Full Name Ayo Adu
Address 9410 Ne Zac Lentz Pkwy
Suite 200
Victoria
TX 77904-3108
Gender M
Graduation Year 2007
Primary Specialty SPORTS MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450023 CITIZENS MEDICAL CENTER
451356 MEMORIAL MEDICAL CENTER

Other Locations

Address Phone Organization
9410 Ne Zac Lentz Pkwy, Suite 200, Victoria, TX 77904-3108

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 9410 NE ZAC LENTZ PKWY
SUITE 200
City VICTORIA
State TX
Zip 77904-3108

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Find all physicians in zip 77904

Competitor

Search similar physicians

City VICTORIA
Zip Code 77904
Specialty SPORTS MEDICINE
City + Specialty VICTORIA + SPORTS MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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