ADEBOLA A ADEJUWON NP
NPI 1174089239
Nurse Practitioner - Family in Frederick, MD
About Adebola A Adejuwon Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADEBOLA A ADEJUWON NP (NPI 1174089239) is an individual family provider in Frederick, Maryland, licensed in Maryland (R220058) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Adebola A Adejuwon Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Adebola Adejuwon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hagerstown, MD 21740
- Reassigned Medicare billing, Maryland enrollment
- 80 clinicians in this Medicare group
Dundalk, MD 21222
- Reassigned Medicare billing, Maryland enrollment
- 49 clinicians in this Medicare group
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 21702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FREDERICK, MD 21702
FREDERICK, MD 21702
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 Adebola Adejuwon's NPI number?
The NPI number for Adebola Adejuwon is 1174089239. It was assigned to this individual provider in the NPPES registry on February 13, 2019.
Where is Adebola Adejuwon located?
Adebola Adejuwon practices at 178 Thomas Johnson Dr, Frederick, MD 21702. The listed phone number is (301) 673-1901.
What is Adebola Adejuwon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Adebola Adejuwon enrolled in Medicare?
Yes. Adebola Adejuwon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Adebola Adejuwon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adebola Adejuwon reassigns Medicare benefits to 2 organizations: Center For Pain Management, LLC (Hagerstown, MD) and Matclinic Physicians Practice Group LLC (Dundalk, MD). Each 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 Adebola Adejuwon'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 Adebola Adejuwon was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Adebola A Adejuwon, NP · NPI 1174089239
Family physician in Frederick, Maryland. Individual provider, active in the CMS NPPES registry since February 13, 2019.
## Identity
- **NPI:** 1174089239 (Entity type: Individual)
- **Enumerated:** February 13, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R220058 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 178 THOMAS JOHNSON DR, Frederick, MD 21702-4386
- **Phone:** (301) 673-1901
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Center For Pain Management, LLC (NPI 1215274477, Hagerstown, MD); Matclinic Physicians Practice Group LLC (NPI 1104375294, Dundalk, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1174089239) · Data from the CMS NPPES public registry.