DR. VICTORIA M. ADENIRAN DPM
NPI 1023681269
Podiatrist - Foot & Ankle Surgery in Philadelphia, PA
About Dr. Victoria M. Adeniran Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VICTORIA M. ADENIRAN DPM (NPI 1023681269) is an individual foot & ankle surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SC007213) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Victoria M. Adeniran Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Victoria Adeniran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Balch Springs, TX 75180
- Reassigned Medicare billing, Texas enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19128
PHILADELPHIA, PA 19128
PHILADELPHIA, PA 19128
PHILADELPHIA, PA 19128
PHILADELPHIA, PA 19128
PHILADELPHIA, PA 19128
PHILADELPHIA, PA 19128
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 Victoria Adeniran's NPI number?
The NPI number for Victoria Adeniran is 1023681269. It was assigned to this individual provider in the NPPES registry on July 23, 2021. The provider is also known as Victoria Gbenjo Mph.
Where is Victoria Adeniran located?
Victoria Adeniran practices at 5800 Ridge Avenue, Philadelphia, PA 19128. The listed phone number is (215) 483-9900.
What is Victoria Adeniran's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Victoria Adeniran enrolled in Medicare?
Yes. Victoria Adeniran is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Victoria Adeniran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Adeniran reassigns Medicare benefits to Back Office Management Services LLC (Balch Springs, TX). The 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 Victoria Adeniran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Victoria Adeniran was last updated on July 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Dr. Victoria M. Adeniran, DPM · NPI 1023681269
Foot & Ankle Surgery provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 23, 2021.
## Identity
- **NPI:** 1023681269 (Entity type: Individual)
- **Enumerated:** July 23, 2021
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** SC007213 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 5800 RIDGE AVENUE, Philadelphia, PA 19128
- **Phone:** (215) 483-9900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Back Office Management Services LLC (NPI 1265739973, Balch Springs, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1023681269) · Data from the CMS NPPES public registry.