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DR. OLUSEGUN M ADEONIGBAGBE M.D.
NPI 1073570081
Internal Medicine - Gastroenterology in Hollis, NY

Active since April 26, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D1095777 · Waiver
19203 JAMAICA AVE, HOLLIS, NY 11423(718) 217-7744(718) 217-7233 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Olusegun M Adeonigbagbe M.d. NPPES

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

DR. OLUSEGUN M ADEONIGBAGBE M.D. (NPI 1073570081) is an individual gastroenterology provider in Hollis, New York, licensed in New York (201260) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 17, 2027, and is affiliated with Brookdale Hospital Medical Center.

NPPES Registry Identity

NPI1073570081
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. OLUSEGUN M ADEONIGBAGBECredential: M.D.
Location Address19203 JAMAICA AVEHollis, NY 11423-2529
Mailing Address1 Norfolk Drive EElmont, NY 11003 · (718) 217-7744 · Fax (718) 217-7233
Phone(718) 217-7744
Fax(718) 217-7233
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateApril 26, 2006
Last NPPES UpdateAugust 4, 2008
✔ NPI 1073570081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 201260
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
19203 JAMAICA AVE, Hollis, NY 11423
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Other Identifiers 15

Other2588825Aetna
Other201260-A16Health First
OtherP00010034Railroad Medicare
Other201260Hip
Other2506098NY · Ghi
OtherQN0067201Americhoice
Other000333540101Healthplus
Other111948722AD03Careplus
Medicare UPING20784NY
Other03590NY · Ghi Medicare
Other3C2885Healthnet
Medicaid01624886NY
Medicare ID-Type Unspecified3V1541NY
Other3V1542Blue Cross Blue Shield
OtherP1300262Oxford

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Olusegun M Adeonigbagbe M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577638782
PECOS Enrollment IDI20080822000641
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1095777

Olusegun M Adeonigbagbe MD PC · Hollis, NY
Active · expires Feb 17, 2027
CLIA Number33D1095777
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorOlusegun M. Adeonigbagbe,md
Laboratory Phone(718) 217-7744
Laboratory LocationOlusegun M Adeonigbagbe MD PC19203 Jamaica Ave, Hollis, NY 11423
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
234 services134 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
59 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Brookdale Hospital Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330233
Location1 Brookdale PlazaBrooklyn, NY 11212 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11423 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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

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

OLUSEGUN M ADEONIGBAGBE MDPC
Clinic/Center (Endoscopy)
19203 JAMAICA AVE
HOLLIS, NY 11423
Queens County (718) 217-7744

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 Olusegun Adeonigbagbe's NPI number?

The NPI number for Olusegun Adeonigbagbe is 1073570081. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Olusegun Adeonigbagbe located?

Olusegun Adeonigbagbe practices at 19203 Jamaica Ave, Hollis, NY 11423. The listed phone number is (718) 217-7744.

What is Olusegun Adeonigbagbe's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Olusegun Adeonigbagbe enrolled in Medicare?

Yes. Olusegun Adeonigbagbe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Olusegun Adeonigbagbe hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1095777) is associated with this NPI, valid through February 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Olusegun Adeonigbagbe affiliated with any hospitals?

According to CMS data, Olusegun Adeonigbagbe is affiliated with Brookdale Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Olusegun Adeonigbagbe was last updated on August 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.