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ADEBAYO ADEWALE M.D
NPI 1245509108
Internal Medicine - Nephrology in Palestine, TX

Active since December 22, 2011PECOS EnrolledAccepts Medicare Assignment
4002 S LOOP 256, STE F, PALESTINE, TX 75801(903) 723-8210(903) 723-8310 Get Directions Write a Review

NPPES record last updated: July 11, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2017, Sep 28, 2015 (2 updates tracked since 2015).

About Adebayo Adewale M.d NPPES

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

ADEBAYO ADEWALE M.D (NPI 1245509108) is an individual nephrology provider in Palestine, Texas, licensed in Texas (Q0394) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1245509108
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameADEBAYO ADEWALECredential: M.D
Location Address4002 S LOOP 256, STE FPalestine, TX 75801-8493
Mailing Address4002 S Loop 256, Ste FPalestine, TX 75801-8493 · (903) 723-8210 · Fax (903) 723-8310
Phone(903) 723-8210
Fax(903) 723-8310
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 22, 2011
Last NPPES UpdateJuly 11, 20172 updates tracked since enumeration
✔ NPI 1245509108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · Q0394
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 267748 (NY)
4002 S LOOP 256, Palestine, TX 75801
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN370852YKKNCTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adebayo Adewale M.d 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 ID4284850934
PECOS Enrollment IDI20141023002154
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Adebayo Adewale reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephromed Associates PA
0.3 mi
Nephrology
4002 S LOOP 256, STE F
Palestine, TX 75801
  • Reassigned Medicare billing, Texas enrollment
NPI 1306363635 (903) 723-8210
North Texas Physician Services, PLLC
75 mi
Internal Medicine
700 E MARSHALL AVE
Longview, TX 75601
  • Reassigned Medicare billing, Texas enrollment
  • 334 clinicians in this Medicare group
NPI 1992586150 (903) 315-2000
Hospitalist Medicine Physicians Of Texas, PLLC
122 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700
Hospital Medicine Associates Of Tx PA
151 mi
Hospitalist
16100 SOUTH FWY
Pearland, TX 77584
  • Reassigned Medicare billing, Texas enrollment
  • 121 clinicians in this Medicare group
NPI 1538520218 (713) 413-6500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
570 services82 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
477 services217 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
425 services134 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
159 services146 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
144 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
129 services67 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Freestone Medical Center

Acute Care Hospitals · Fairfield, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450658
Location125 Newman StFairfield, TX 75840 · Freestone County
Emergency services

Palestine Regional Medical Center

Acute Care Hospitals · Palestine, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450747
Location2900 S Loop 256Palestine, TX 75801 · Anderson County
Emergency services Birthing friendly

Crockett Medical Center

Critical Access Hospitals · Crockett, TX
OwnershipPhysician
CMS Certification Number451393
Location1100 E Loop 304Crockett, TX 75835 · Houston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75801 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%278 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%904 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%22 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$70.61 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier68 claims68 services$20.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers76 claims76 services$114.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. LAKSHMI MALATHY PUVVADA M.D
Allergy & Immunology
4002 S LOOP 256, SUITE L
PALESTINE, TX 75801
Anderson County (903) 723-0033
TEXAS SPECIALTY PHYSICIANS
Orthopaedic Surgery
4002 S LOOP 256, SUITE G
PALESTINE, TX 75801
Anderson County (903) 723-2427
TANIA SHINOHARA N.P.
Nurse Practitioner (Family)
4002 S LOOP 256
PALESTINE, TX 75801
Anderson County (903) 731-5030
NANDAN K PUVVADA M.D.
Surgery
4002 S LOOP 256, SUITE L
PALESTINE, TX 75801
Anderson County (903) 723-0033
TANYA M SOLIS MD PA
Physical Medicine & Rehabilitation
4002 S LOOP 256, SUITE K
PALESTINE, TX 75801
Anderson County (903) 723-0600
LIMESTONE COUNTY ANESTHESIA ASSOCIATES PA
Nurse Anesthetist, Certified Registered
4002 S LOOP 256, SUITE N
PALESTINE, TX 75801
Anderson County (903) 677-1000
NEPHROMED ASSOCIATES PA
Internal Medicine (Nephrology)
4002 S LOOP 256, STE F
PALESTINE, TX 75801
Anderson County (903) 723-8210
IN-HOME PARTNER OF TEXAS-I, LLC
Home Health
4002 S LOOP 256, SUITE M
PALESTINE, TX 75801
Anderson County (903) 723-5037

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 Adebayo Adewale's NPI number?

The NPI number for Adebayo Adewale is 1245509108. It was assigned to this individual provider in the NPPES registry on December 22, 2011.

Where is Adebayo Adewale located?

Adebayo Adewale practices at 4002 S Loop 256 Ste F, Palestine, TX 75801. The listed phone number is (903) 723-8210.

What is Adebayo Adewale's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Adebayo Adewale enrolled in Medicare?

Yes. Adebayo Adewale 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.

Which organizations bill Medicare for Adebayo Adewale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adebayo Adewale reassigns Medicare benefits to 4 organizations: Nephromed Associates PA (Palestine, TX), North Texas Physician Services, PLLC (Longview, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX) and Hospital Medicine Associates Of Tx PA (Pearland, TX). 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 Adebayo Adewale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adebayo Adewale accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Adebayo Adewale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adebayo Adewale affiliated with any hospitals?

According to CMS data, Adebayo Adewale is affiliated with Ut Health East Texas Tyler Regional Hospital, Christus Mother Frances Hospital, Freestone Medical Center, Palestine Regional Medical Center and Crockett Medical Center.

When was this NPI record last updated?

The NPPES record for Adebayo Adewale was last updated on July 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.