Adeline Memorial Medical Group PLLC
NPI 1760075667 · Family Nurse Practitioner · Rosenberg, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Adeline Memorial Medical Group PLLC is a Family Nurse Practitioner organization in Rosenberg, TX (NPI 1760075667).
Provider details
- NPI number
- 1760075667
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Funmilola Odutayo, Provider(832) 344-3650
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 6515 Corporate Dr Ste D1Houston, TX 77036-3426Phone: (713) 981-5166Fax: (713) 981-5288
Registry dates
- Enumerated
- 2021-02-11
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Frequently asked questions
- What is Adeline Memorial Medical Group PLLC's NPI number?
- Adeline Memorial Medical Group PLLC's National Provider Identifier (NPI) is 1760075667, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Adeline Memorial Medical Group PLLC?
- Adeline Memorial Medical Group PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Adeline Memorial Medical Group PLLC located?
- Adeline Memorial Medical Group PLLC's practice location on file with NPPES is 3200 Avenue I, Rosenberg, TX 77471-3630.
- What is Adeline Memorial Medical Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Adeline Memorial Medical Group PLLC is (832) 344-3650.
- Does Adeline Memorial Medical Group PLLC accept Medicare?
- Adeline Memorial Medical Group PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Adeline Memorial Medical Group PLLC?
- The authorized official listed on Adeline Memorial Medical Group PLLC's NPPES record is Funmilola Odutayo, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Adeline Memorial Medical Group PLLC's NPI active?
- Yes — Adeline Memorial Medical Group PLLC's NPI (1760075667) is active in the NPPES registry as of the last update on 2025-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.