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DR. EBENEZER OLUBUNMI ADEBIYI MD
NPI 1164058012
Pediatrics - Pediatric Cardiology in San Antonio, TX

Active since March 22, 2020PECOS Enrolled
4499 MEDICAL DR STE 289, SAN ANTONIO, TX 78229(210) 614-3264(210) 615-0888 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2026, May 6, 2023, May 12, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Ebenezer Olubunmi Adebiyi Md NPPES

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

DR. EBENEZER OLUBUNMI ADEBIYI MD (NPI 1164058012) is an individual pediatric cardiology provider in San Antonio, Texas, licensed in Texas (W5224) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1164058012
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. EBENEZER OLUBUNMI ADEBIYICredential: MD
Location Address4499 MEDICAL DR STE 289San Antonio, TX 78229-3712
Mailing Address4499 Medical Dr Ste 289San Antonio, TX 78229-3712 · (210) 614-3264 · Fax (210) 615-0888
Phone(210) 614-3264
Fax(210) 615-0888
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 22, 2020
Last NPPES UpdateAugust 11, 20264 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1164058012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in TX · W5224
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
4499 MEDICAL DR STE 289, San Antonio, TX 78229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ebenezer Olubunmi Adebiyi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406311836
PECOS Enrollment IDI20260716003233
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 Ebenezer Adebiyi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Methodist Physician Practices, PLLC
5.5 mi
Surgery
15727 ANTHEM PKWY STE 600
San Antonio, TX 78249
  • Reassigned Medicare billing, Texas enrollment
  • 227 clinicians in this Medicare group
NPI 1922252717 (210) 575-8501

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

JAMES CHANG
Pediatrics (Pediatric Cardiology)
4499 MEDICAL DR STE 289
SAN ANTONIO, TX 78229
Bexar County (210) 614-3264
DR. BIBHUTI B DAS MD
Pediatrics (Pediatric Cardiology)
4499 MEDICAL DR STE 289
SAN ANTONIO, TX 78229
Bexar County (210) 614-3264
SANNYA VIDYADHAR HEDE MD
Pediatrics (Pediatric Cardiology)
4499 MEDICAL DR STE 289
SAN ANTONIO, TX 78229
Bexar County (210) 614-3264
MS. JIA YUE LIU MD
Pediatrics (Pediatric Cardiology)
4499 MEDICAL DR STE 289
SAN ANTONIO, TX 78229
Bexar County (210) 614-3264
DR. JAI P. UDASSI M.D.
Pediatrics (Pediatric Cardiology)
4499 MEDICAL DR STE 289
SAN ANTONIO, TX 78229
Bexar County (210) 614-3264
DR. SUDHEER REDDY GORLA M.D
Pediatrics (Pediatric Cardiology)
4499 MEDICAL DR STE 289
SAN ANTONIO, TX 78229
Bexar County (210) 614-3264
JENNIFER JOHNSON
Pediatrics (Pediatric Cardiology)
4499 MEDICAL DR STE 289
SAN ANTONIO, TX 78229
Bexar County (210) 614-3264
FRANCES AIDYN LINARES CPNP-PC
Nurse Practitioner
4499 MEDICAL DR STE 289
SAN ANTONIO, TX 78229
Bexar County (210) 614-3264

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 Ebenezer Adebiyi's NPI number?

The NPI number for Ebenezer Adebiyi is 1164058012. It was assigned to this individual provider in the NPPES registry on March 22, 2020.

Where is Ebenezer Adebiyi located?

Ebenezer Adebiyi practices at 4499 Medical Dr Ste 289, San Antonio, TX 78229. The listed phone number is (210) 614-3264.

What is Ebenezer Adebiyi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Ebenezer Adebiyi enrolled in Medicare?

Yes. Ebenezer Adebiyi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ebenezer Adebiyi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebenezer Adebiyi reassigns Medicare benefits to Methodist Physician Practices, PLLC (San Antonio, TX). 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 Ebenezer Adebiyi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ebenezer Adebiyi accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Ebenezer Adebiyi 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 Ebenezer Adebiyi was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.