1. Home
  2. Directory
  3. California
  4. Ventura
  5. Family Medicine
  6. NPI Profile

MELODY MIJOY ADESUYAN
NPI 1154909364
Family Medicine in Ventura, CA

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
200 S WELLS RD STE 100, VENTURA, CA 93004(805) 647-6322(805) 647-7164 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2024, Mar 30, 2021 (2 updates tracked since 2021).

About Melody Mijoy Adesuyan NPPES

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

MELODY MIJOY ADESUYAN (NPI 1154909364) is an individual family medicine provider in Ventura, California, licensed in California (A187487) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154909364
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMELODY MIJOY ADESUYAN
Location Address200 S WELLS RD STE 100Ventura, CA 93004-1378
Mailing Address1040 Flynn RdCamarillo, CA 93012-5092 · (805) 673-3930 · Fax (805) 659-3217
Phone(805) 647-6322
Fax(805) 647-7164
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 30, 2021
Last NPPES UpdateAugust 29, 20252 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
✔ NPI 1154909364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A187487
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 S WELLS RD STE 100, Ventura, CA 93004
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Melody Mijoy Adesuyan 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 ID4486157344
PECOS Enrollment IDI20250915002871
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 Melody Adesuyan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinicas Del Camino Real Inc
Same address
Federally Qualified Health Center (FQHC)
200 S WELLS RD, SUITE 100
Ventura, CA 93004
  • Reassigned Medicare billing, California enrollment
  • 216 clinicians in this Medicare group
NPI 1679631907 (805) 647-6322

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 93004 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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 10

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

DR. RILEY HANNAH RODRIGUEZ MD
Family Medicine
200 S WELLS RD STE 100
VENTURA, CA 93004
Ventura County (805) 647-6322
ZEENA ZAYNAB AL-TAI MD
Family Medicine
200 S WELLS RD STE 100
VENTURA, CA 93004
Ventura County (805) 647-6322
MR. SAM KEY PA-C
Physician Assistant
200 S WELLS RD STE 100
VENTURA, CA 93004
Ventura County (805) 647-6322
JILL MARIE IRELAND PA C
Physician Assistant
200 S WELLS RD STE 100, CLINICAS DEL CAMINO REAL INC
VENTURA, CA 93004
Ventura County (805) 659-1740
VALERIE IKEMEFUNA
Nurse Practitioner (Family)
200 S WELLS RD STE 100
VENTURA, CA 93004
Ventura County (805) 647-6322
RAND AZOUZ
Pediatrics
200 S WELLS RD STE 100
VENTURA, CA 93004
Ventura County (805) 647-6322
MARINA SHEHATA
Dentist
200 S WELLS RD STE 100
VENTURA, CA 93004
Ventura County (805) 647-6322
ISHITA PATEL
Pediatrics
200 S WELLS RD STE 100
VENTURA, CA 93004
Ventura County (805) 647-6322

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 Melody Adesuyan's NPI number?

The NPI number for Melody Adesuyan is 1154909364. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Melody Adesuyan located?

Melody Adesuyan practices at 200 S Wells Rd Ste 100, Ventura, CA 93004. The listed phone number is (805) 647-6322.

What is Melody Adesuyan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Melody Adesuyan enrolled in Medicare?

Yes. Melody Adesuyan 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 organization bills Medicare for Melody Adesuyan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melody Adesuyan reassigns Medicare benefits to Clinicas Del Camino Real Inc (Ventura, CA). 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 Melody Adesuyan'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 Melody Adesuyan was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.