Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Ebenezer Adebiyi's specialty?

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

Q: 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 17 days 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.

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: August 23, 2026.

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

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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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Medicare Participation & PECOS CMS

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

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.

Other Providers at the Same Location NPPES 9

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

JAMES CHANG

Pediatrics (Pediatric Cardiology)