ALEXANDER OLUWATOMISIN ADETUNJI MD
NPI 1134822208
Student in an Organized Health Care Education/Training Program in Marietta, GA

Q: What is Alexander Adetunji's NPI number?

The NPI number for Alexander Adetunji is 1134822208. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Alexander Adetunji's specialty?

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

Active since March 27, 2023PECOS Enrolled

677 CHURCH ST NE LOWR LEVEL, MARIETTA, GA 30060(470) 956-2020 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alexander Oluwatomisin Adetunji Md NPPES

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

ALEXANDER OLUWATOMISIN ADETUNJI MD (NPI 1134822208) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134822208

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameALEXANDER OLUWATOMISIN ADETUNJICredential: MD

Location Address677 CHURCH ST NE LOWR LEVELMarietta, GA 30060-1101

Mailing Address677 Church St Ne Lowr LevelMarietta, GA 30060-1101 · (470) 956-2020

Phone(470) 956-2020

Sole ProprietorNo

Enumeration DateMarch 27, 2023

NPPES CertifiedMarch 25, 2023

✔ NPI 1134822208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

677 CHURCH ST NE LOWR LEVEL, Marietta, GA 30060

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Oluwatomisin Adetunji Md 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.

Other Providers at the Same Location NPPES 13

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

RYAN AZARKHAIL MD

Student in an Organized Health Care Education/Training Program