OLATOKUNBO ADEGBORO MD
NPI 1093100893
Family Medicine in Chicago, IL
About Olatokunbo Adegboro Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLATOKUNBO ADEGBORO MD (NPI 1093100893) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.156485) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Loyola Gottlieb Memorial Hospital, and maintains a secondary practice location in Oakland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Olatokunbo Adegboro Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Olatokunbo Adegboro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60613
- Reassigned Medicare billing, Illinois enrollment
- 143 clinicians in this Medicare group
Maywood, IL 60153
- Reassigned Medicare billing, Illinois enrollment
- 1,138 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Loyola Gottlieb Memorial Hospital
Acute Care Hospitals · Melrose Park, ILElmhurst Memorial Hospital
Acute Care Hospitals · Elmhurst, ILLoyola University Medical Center
Acute Care Hospitals · Maywood, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHICAGO, IL 60613
CHICAGO, IL 60613
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 Olatokunbo Adegboro's NPI number?
The NPI number for Olatokunbo Adegboro is 1093100893. It was assigned to this individual provider in the NPPES registry on March 30, 2015.
Where is Olatokunbo Adegboro located?
Olatokunbo Adegboro practices at 4009 N Broadway St, Chicago, IL 60613. The listed phone number is (773) 388-1600.
What is Olatokunbo Adegboro's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Olatokunbo Adegboro enrolled in Medicare?
Yes. Olatokunbo Adegboro 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.
Which organizations bill Medicare for Olatokunbo Adegboro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olatokunbo Adegboro reassigns Medicare benefits to 2 organizations: Howard Brown Health Center (Chicago, IL) and Loyola University Medical Center (Maywood, IL). Each 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 Olatokunbo Adegboro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Olatokunbo Adegboro accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Olatokunbo Adegboro 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.
Is Olatokunbo Adegboro affiliated with any hospitals?
According to CMS data, Olatokunbo Adegboro is affiliated with Loyola Gottlieb Memorial Hospital, Elmhurst Memorial Hospital and Loyola University Medical Center.
When was this NPI record last updated?
The NPPES record for Olatokunbo Adegboro was last updated on July 26, 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.
# Olatokunbo Adegboro, MD · NPI 1093100893
Family Medicine physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since March 30, 2015.
## Identity
- **NPI:** 1093100893 (Entity type: Individual)
- **Enumerated:** March 30, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036.156485 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4009 N BROADWAY ST, Chicago, IL 60613-2110
- **Phone:** (773) 388-1600 · **Fax:** (773) 388-8664
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Howard Brown Health Center (NPI 1306048632, Chicago, IL); Loyola University Medical Center (NPI 1336159961, Maywood, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 26, 2021
- **Other identifiers:** Medicaid 036.156485 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1093100893) · Data from the CMS NPPES public registry.