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DAMILOLA MOJEED GBADEBO MD
NPI 1174226377
Student in an Organized Health Care Education/Training Program in Searcy, AR

Active since March 24, 2023PECOS Enrolled
3214 E RACE AVE, SEARCY, AR 72143(501) 380-2280 Get Directions Write a Review

NPPES record last updated: April 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Damilola Mojeed Gbadebo Md NPPES

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

DAMILOLA MOJEED GBADEBO MD (NPI 1174226377) is an individual student in an organized health care education/training program in Searcy, Arkansas and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174226377
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAMILOLA MOJEED GBADEBOCredential: MD
Location Address3214 E RACE AVESearcy, AR 72143-4810
Mailing Address721 Fairfax Ave Fl 3Norfolk, VA 23507-2007
Phone(501) 380-2280
Sole ProprietorYes
Enumeration DateMarch 24, 2023
Last NPPES UpdateApril 27, 2025
NPPES CertifiedApril 27, 2025
✔ NPI 1174226377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3214 E RACE AVE, Searcy, AR 72143
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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)

Damilola Mojeed Gbadebo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

DR. CALEB JARRED CONRAD DO
Student in an Organized Health Care Education/Training Program
3214 E RACE AVE
SEARCY, AR 72143
White County (501) 380-2216
PRABHNEET SINGH PANNU MD
Student in an Organized Health Care Education/Training Program
3214 E RACE AVE
SEARCY, AR 72143
White County (501) 380-2298
RUPAK KUMAR CHOWDHURY MD
Student in an Organized Health Care Education/Training Program
3214 E RACE AVE
SEARCY, AR 72143
White County (501) 203-2183
SARAH RAMSEY APRN
Clinical Nurse Specialist (Psychiatric/Mental Health)
3214 E RACE AVE
SEARCY, AR 72143
White County (501) 268-6121
DR. CAYLAN LIEW DO
Student in an Organized Health Care Education/Training Program
3214 E RACE AVE
SEARCY, AR 72143
White County (501) 380-2299
COLLIE MASON SHAW
Student in an Organized Health Care Education/Training Program
3214 E RACE AVE
SEARCY, AR 72143
White County (501) 380-2280
BRYCE RICHARD BROOKS DO
Student in an Organized Health Care Education/Training Program
3214 E RACE AVE
SEARCY, AR 72143
White County (501) 380-2280
DR. JAMIE PITCOCK SMITH CRNA
Nurse Anesthetist, Certified Registered
3214 E RACE AVE
SEARCY, AR 72143
White County (501) 268-6121

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 Damilola Gbadebo's NPI number?

The NPI number for Damilola Gbadebo is 1174226377. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Damilola Gbadebo located?

Damilola Gbadebo practices at 3214 E Race Ave, Searcy, AR 72143. The listed phone number is (501) 380-2280.

What is Damilola Gbadebo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Damilola Gbadebo enrolled in Medicare?

Yes. Damilola Gbadebo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Damilola Gbadebo was last updated on April 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.