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

Q: 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.

Q: What is Adeniyi Ademoyo's specialty?

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

Q: 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 13 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 August 27, 2012Accepts 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: August 02, 2026.

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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 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, and ordering and referring status from the CMS PECOS system.

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

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.

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 13 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.