ADEDAYO MICHAEL BALOGUN DO
NPI 1225788987
Student in an Organized Health Care Education/Training Program in Aurora, CO

Q: What is Adedayo Balogun's NPI number?

The NPI number for Adedayo Balogun is 1225788987. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Adedayo Balogun's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Adedayo Balogun was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 25, 2022PECOS Enrolled

12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Adedayo Michael Balogun Do NPPES

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

ADEDAYO MICHAEL BALOGUN DO (NPI 1225788987) is an individual student in an organized health care education/training program in Aurora, Colorado, licensed in Colorado (TL0009674) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225788987

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameADEDAYO MICHAEL BALOGUNCredential: DO

Location Address12605 E 16TH AVEAurora, CO 80045-2545

Mailing Address12631 E 17th AveAurora, CO 80045-2527 · (303) 724-7408

Phone(720) 848-0000

Sole ProprietorNo

Enumeration DateMarch 25, 2022

Last NPPES UpdateApril 24, 2023

NPPES CertifiedApril 24, 2023

✔ NPI 1225788987 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

License✔ Licensed in CO · TL0009674

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.

12605 E 16TH AVE, Aurora, CO 80045

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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)

Adedayo Michael Balogun Do 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.

KEVIN BRADLEY ROTHCHILD MD

Surgery (Trauma Surgery)