1. Home
  2. Directory
  3. Washington
  4. Tacoma
  5. Internal Medicine
  6. NPI Profile

BOLAJOKO RENEE ADENIYI M.D.
NPI 1104112036
Internal Medicine in Tacoma, WA

Active since June 20, 2011PECOS Enrolled
1708 YAKIMA AVE STE 120, TACOMA, WA 98405(253) 289-1363 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bolajoko Renee Adeniyi M.d. NPPES

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

BOLAJOKO RENEE ADENIYI M.D. (NPI 1104112036) is an individual internal medicine provider in Tacoma, Washington, licensed in Illinois (125060353) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104112036
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameBOLAJOKO RENEE ADENIYICredential: M.D.
Location Address1708 YAKIMA AVE STE 120Tacoma, WA 98405-5300
Mailing Address1708 Yakima Ave Ste 120Tacoma, WA 98405-5300 · (253) 289-1363
Phone(253) 289-1363
Sole ProprietorNo
Enumeration DateJune 20, 2011
Last NPPES UpdateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
✔ NPI 1104112036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125060353
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1708 YAKIMA AVE STE 120, Tacoma, WA 98405
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bolajoko Renee Adeniyi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Bolajoko Adeniyi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington
17 mi
Multi-Specialty
2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
NPI 1124264577 (509) 241-7349

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 98405 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 4

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

AMBER L HILL MSW, LCSW
Social Worker (Clinical)
1708 YAKIMA AVE STE 120
TACOMA, WA 98405
Pierce County (253) 620-2575
BRYAN ANTHONY EBERLE M.D.
Hospitalist
1708 YAKIMA AVE STE 120
TACOMA, WA 98405
Pierce County (253) 596-3696
AMANDA C LEE M.D.
Hospitalist
1708 YAKIMA AVE STE 120
TACOMA, WA 98405
Pierce County (253) 289-1363
MELISSA MIKIKO CHIN MD
Hospitalist
1708 YAKIMA AVE STE 120
TACOMA, WA 98405
Pierce County (253) 596-3696

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 Bolajoko Adeniyi's NPI number?

The NPI number for Bolajoko Adeniyi is 1104112036. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Bolajoko Adeniyi located?

Bolajoko Adeniyi practices at 1708 Yakima Ave Ste 120, Tacoma, WA 98405. The listed phone number is (253) 289-1363.

What is Bolajoko Adeniyi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bolajoko Adeniyi enrolled in Medicare?

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

Which organization bills Medicare for Bolajoko Adeniyi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bolajoko Adeniyi reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Renton, WA). 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 Bolajoko Adeniyi'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 Bolajoko Adeniyi was last updated on March 31, 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.