ADEOLA MUSTAPHA MD
NPI 1093956765
Student in an Organized Health Care Education/Training Program in Carmel, IN

Active since March 10, 2009PECOS EnrolledAccepts Medicare Assignment
550 CONGRESSIONAL BLVD, CARMEL, IN 46032(833) 351-8255 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 26, 2025, Apr 16, 2020, Apr 9, 2020 and 3 more (6 updates tracked since 2019).

About Adeola Mustapha Md NPPES

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

ADEOLA MUSTAPHA MD (NPI 1093956765) is an individual student in an organized health care education/training program in Carmel, Indiana and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1093956765
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameADEOLA MUSTAPHACredential: MD
Location Address550 CONGRESSIONAL BLVDCarmel, IN 46032-5609
Mailing Address550 Congressional BlvdCarmel, IN 46032-5609 · (833) 351-8255 · Fax (888) 815-3583
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 10, 2009
Last NPPES UpdateNovember 26, 20256 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
NPI 1093956765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedHome HealthTaxonomy 251E00000X · License 010765 (TX)
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X · License 010765 (TX)
550 CONGRESSIONAL BLVD, Carmel, IN 46032

Secondary Practice Locations 3

Location 110 W BroadwaySalt Lake City, UT 84101-2002 · Phone (833) 351-8255 · Fax (888) 815-3583
Location 2109 W 27th St Rm 5SNew York, NY 10001-6208 · Phone (833) 351-8255 · Fax (888) 815-3583
Location 34121 Marvin D Love Fwy Ste 2010Dallas, TX 75224-4863 · Phone (214) 375-0888 · Fax (214) 375-0887

Other Identifiers 1

Medicaid001018158TX

Accepted Insurance

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

Adeola Mustapha 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.

PECOS PAC ID1951486984
PECOS Enrollment IDI20260115002940, I20260129001107, I20260406001862
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.

Other Providers at the Same Location NPPES 3

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

Health and Wellness Coach
550 CONGRESSIONAL BLVD, SUITE 350
CARMEL, IN 46032
Clinic/Center (Mental Health (Including Community Mental Health Center))
550 CONGRESSIONAL BLVD, SUITE 125
CARMEL, IN 46032
Nurse Practitioner (Psychiatric/Mental Health)
550 CONGRESSIONAL BLVD
CARMEL, IN 46032

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 Adeola Mustapha's NPI number?

The NPI number for Adeola Mustapha is 1093956765. It was assigned to this individual provider in the NPPES registry on March 10, 2009.

Where is Adeola Mustapha located?

Adeola Mustapha practices at 550 Congressional Blvd, Carmel, IN 46032. The listed phone number is (833) 351-8255.

What is Adeola Mustapha's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Adeola Mustapha enrolled in Medicare?

Yes. Adeola Mustapha 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.

What insurance does Adeola Mustapha accept?

Health plans from UnitedHealthcare list Adeola Mustapha 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 Adeola Mustapha was last updated on November 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.