IndividualActive
Olusanjo Adeoye, MD, MBA
NPI 1477716348 · Sports Medicine (Orthopaedic Surgery) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1477716348
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MBA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4301104001 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4100 Lake Dr Se
Suite 300
Grand Rapids, MI 49546-8292
Phone: (616) 267-8860
Fax: (616) 267-8442
Street-level locationGet directions
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2008-07-09
- Last updated
- 2017-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.