DR. ADETOLA CILVERIA ADENIYI
NPI 1033747621
Family Medicine in Burien, WA

Active since March 30, 2020PECOS Enrolled
140 SW 146TH ST, BURIEN, WA 98166(559) 836-1022 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2023, Aug 6, 2020, Mar 30, 2020 (3 updates tracked since 2020).

About Dr. Adetola Cilveria Adeniyi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ADETOLA CILVERIA ADENIYI (NPI 1033747621) is an individual family medicine provider in Burien, Washington, licensed in Washington (1033747621) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033747621
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ADETOLA CILVERIA ADENIYI
Location Address140 SW 146TH STBurien, WA 98166
Mailing Address140 Sw 146th StBurien, WA 98166-1997 · (206) 630-3000 · Fax (206) 630-3001
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 30, 2020
Last NPPES UpdateFebruary 17, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
✔ NPI 1033747621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · 1033747621
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
140 SW 146TH ST, Burien, WA 98166

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adetola Cilveria Adeniyi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143648907
PECOS Enrollment IDI20260526004200
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Adetola Adeniyi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
9055 KATY FWY STE 200
Houston, TX 77024
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Villagemd Of Southeast Texas PA
  • 207 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98166 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
140 SW 146TH ST
BURIEN, WA 98166
Student in an Organized Health Care Education/Training Program
140 SW 146TH ST
BURIEN, WA 98166
Family Medicine
140 SW 146TH ST
BURIEN, WA 98166
Student in an Organized Health Care Education/Training Program
140 SW 146TH ST
BURIEN, WA 98166
Pediatrics
140 SW 146TH ST
BURIEN, WA 98166
Student in an Organized Health Care Education/Training Program
140 SW 146TH ST
BURIEN, WA 98166
Family Medicine
140 SW 146TH ST
BURIEN, WA 98166
Student in an Organized Health Care Education/Training Program
140 SW 146TH ST
BURIEN, WA 98166

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 Adetola Adeniyi's NPI number?

The NPI number for Adetola Adeniyi is 1033747621. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Adetola Adeniyi located?

Adetola Adeniyi practices at 140 SW 146th St, Burien, WA 98166. The listed phone number is (559) 836-1022.

What is Adetola Adeniyi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Adetola Adeniyi enrolled in Medicare?

Yes. Adetola Adeniyi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adetola Adeniyi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adetola Adeniyi reassigns Medicare benefits to Village Family Practice, L.L.P (Houston, 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 Adetola Adeniyi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adetola Adeniyi accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Adetola Adeniyi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adetola Adeniyi was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.