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KAFAYAT ADEOTI ADEBIYI
NPI 1174223747
Nurse Practitioner - Psychiatric/Mental Health in San Ramon, CA

Active since March 03, 2023PECOS EnrolledAccepts Medicare Assignment
5201 NORRIS CANYON RD, SAN RAMON, CA 94583(206) 823-1004 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2025, Mar 3, 2023 (2 updates tracked since 2023).

About Kafayat Adeoti Adebiyi NPPES

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

KAFAYAT ADEOTI ADEBIYI (NPI 1174223747) is an individual psychiatric/mental health provider in San Ramon, California, licensed in California (95260277) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Sacramento, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174223747
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAFAYAT ADEOTI ADEBIYI
Location Address5201 NORRIS CANYON RDSan Ramon, CA 94583-5411
Mailing Address2215 Oakmont WayWest Sacramento, CA 95691-3022 · (916) 371-1890
Phone(206) 823-1004
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 3, 2023
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1174223747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95260277
5201 NORRIS CANYON RD, San Ramon, CA 94583
Open in Google Maps ↗

Secondary Practice Location 1

Location 12215 Oakmont WayWest Sacramento, CA 95691-3022 · Phone (916) 371-1890

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kafayat Adeoti Adebiyi 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 ID6305340860
PECOS Enrollment IDI20250917004061
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94583 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 19

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

CARDIOVASCULAR CONSULTANTS MEDICAL GROUP, INC.
Internal Medicine (Interventional Cardiology)
5201 NORRIS CANYON RD, #220
SAN RAMON, CA 94583
Contra Costa County (925) 277-1900
KEVIN FRANCIS CIRESI MD
Plastic Surgery
5201 NORRIS CANYON RD, #110
SAN RAMON, CA 94583
Contra Costa County (925) 275-1685
DR. MARK WILLIAM LEE LOLLAR MD
Obstetrics & Gynecology
5201 NORRIS CANYON RD, #310
SAN RAMON, CA 94583
Contra Costa County (925) 327-1500
PATRICK A DAWKINS, MD INC
Obstetrics & Gynecology
5201 NORRIS CANYON RD, #310
SAN RAMON, CA 94583
Contra Costa County (925) 327-1500
NORCAL UROLOGY MEDICAL GROUP INC
Urology
5201 NORRIS CANYON RD, SUITE 230
SAN RAMON, CA 94583
Contra Costa County (925) 866-2100
DR. PAUL J WOTOWIC M.D.
Plastic Surgery
5201 NORRIS CANYON RD, SUITE 330
SAN RAMON, CA 94583
Contra Costa County (925) 866-6778
DR. RENEE SIMONE HILLIARD M.D.
Obstetrics & Gynecology
5201 NORRIS CANYON RD, #310
SAN RAMON, CA 94583
Contra Costa County (925) 327-1500
TRI-VALLEY SLEEP CENTER
Clinic/Center (Sleep Disorder Diagnostic)
5201 NORRIS CANYON RD, SUITE 120
SAN RAMON, CA 94583
Contra Costa County (925) 327-0200

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 Kafayat Adebiyi's NPI number?

The NPI number for Kafayat Adebiyi is 1174223747. It was assigned to this individual provider in the NPPES registry on March 3, 2023.

Where is Kafayat Adebiyi located?

Kafayat Adebiyi practices at 5201 Norris Canyon Rd, San Ramon, CA 94583. The listed phone number is (206) 823-1004.

What is Kafayat Adebiyi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kafayat Adebiyi enrolled in Medicare?

Yes. Kafayat Adebiyi 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.

When was this NPI record last updated?

The NPPES record for Kafayat Adebiyi was last updated on June 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.