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MR. ADENIYI C ADEMOYO CRNA
NPI 1255689188
Nurse Anesthetist, Certified Registered in Woodstock, IL

Active since August 27, 2012PECOS EnrolledAccepts Medicare Assignment
3701 DOTY ROAD, WOODSTOCK, IL 60098(630) 874-2542(630) 874-2642 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Adeniyi C Ademoyo Crna NPPES

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

MR. ADENIYI C ADEMOYO CRNA (NPI 1255689188) is an individual nurse anesthetist, certified registered in Woodstock, Illinois, licensed in Illinois (209009720) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1255689188
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. ADENIYI C ADEMOYOCredential: CRNA
Location Address3701 DOTY ROADWoodstock, IL 60098
Mailing Address249 Arrowhead StPark Forest, IL 60466-1437 · (630) 874-2542 · Fax (630) 874-2642
Phone(630) 874-2542
Fax(630) 874-2642
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 27, 2012
✔ NPI 1255689188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IL · 209009720
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
3701 DOTY ROAD, Woodstock, IL 60098
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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

Mr. Adeniyi C Ademoyo Crna 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 ID4688826969
PECOS Enrollment IDI20121213000153
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

8

Medicare enrollment records show Adeniyi Ademoyo reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Town Square Anesthesia LLC
Same address
Anesthesiology
3701 DOTY RD
Woodstock, IL 60098
  • Reassigned Medicare billing, Illinois enrollment
  • 87 clinicians in this Medicare group
NPI 1669471017 (815) 338-2500
Huntley Anesthesia Associates LLC
5.1 mi
Anesthesiology
10350 HALIGUS RD
Huntley, IL 60142
  • Reassigned Medicare billing, Illinois enrollment
  • 70 clinicians in this Medicare group
NPI 1205282019 (224) 231-4363
Valley Pain Care Centers Ltd
30 mi
Pain Medicine
1 KISH HOSPITAL DR
Dekalb, IL 60115
  • Reassigned Medicare billing, Illinois enrollment
  • 57 clinicians in this Medicare group
NPI 1194722058 (815) 766-1258
Anesthesia Associates, Ltd
35 mi
Pain Medicine
2540 HANFORD LN
Aurora, IL 60502
  • Reassigned Medicare billing, Illinois enrollment
  • 101 clinicians in this Medicare group
NPI 1952308223 (815) 748-8993
Oak Brook Anesthesiologists, Ltd.
37 mi
Anesthesiology
2425 W 22ND ST, SUITE 101
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • 63 clinicians in this Medicare group
NPI 1881705937 (630) 990-2212
Midwest Anesthesia Partners, LLC
46 mi
Anesthesiology
2900 N LAKE SHORE DR
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 385 clinicians in this Medicare group
NPI 1255380184 (773) 388-5700
North American Partners In Anesthesia (illinois), LLC
182 mi
Anesthesiology
800 E CARPENTER ST
Springfield, IL 62769
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1699032524 (630) 990-9729
Northstar Anesthesia Of Illinois, LLC
810 mi
Anesthesiology
2000 E LAMAR BLVD STE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Illinois enrollment
  • 735 clinicians in this Medicare group
NPI 1962822395 (817) 583-7421

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 2

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
24 services24 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60098 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 4

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

MEMORIAL MEDICAL CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
3701 DOTY ROAD
WOODSTOCK, IL 60098
McHenry County (815) 338-2910
DONALD R. KENNARD M.D.
Radiology (Diagnostic Radiology)
3701 DOTY ROAD, MEMORIAL MEDICAL CENTER / RADIOLOGY DEPARTMENT
WOODSTOCK, IL 60098
McHenry County (815) 338-2500
WOODSTOCK IMAGING ASSOCIATES, INC.
Radiology (Diagnostic Radiology)
3701 DOTY ROAD, ATTN: MEMORIAL MEDICAL CENTER/RADIOLOGY DEPT.
WOODSTOCK, IL 60098
McHenry County (815) 338-2500
MRS. TIFFANIE ANN YOUNG MS, RD, LDN
Dietitian, Registered
3701 DOTY ROAD, CENTEGRA HOSPITAL - WOODSTOCK
WOODSTOCK, IL 60098
McHenry County (815) 334-3113

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 Adeniyi Ademoyo's NPI number?

The NPI number for Adeniyi Ademoyo is 1255689188. It was assigned to this individual provider in the NPPES registry on August 27, 2012.

Where is Adeniyi Ademoyo located?

Adeniyi Ademoyo practices at 3701 Doty Road, Woodstock, IL 60098. The listed phone number is (630) 874-2542.

What is Adeniyi Ademoyo's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Adeniyi Ademoyo enrolled in Medicare?

Yes. Adeniyi Ademoyo 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 Adeniyi Ademoyo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adeniyi Ademoyo reassigns Medicare benefits to 8 organizations: Town Square Anesthesia LLC (Woodstock, IL), Huntley Anesthesia Associates LLC (Huntley, IL), Valley Pain Care Centers Ltd (Dekalb, IL), Anesthesia Associates, Ltd (Aurora, IL), Oak Brook Anesthesiologists, Ltd. (Oak Brook, IL) and 3 more organizations, listed in the Medicare section above. 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 Adeniyi Ademoyo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Adeniyi Ademoyo affiliated with any hospitals?

According to CMS data, Adeniyi Ademoyo is affiliated with Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Adeniyi Ademoyo was last updated on August 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.