ADEBAYO A. ADESOMO MD
NPI 1265967442
Obstetrics & Gynecology in Salt Lake City, UT

Q: What is Adebayo Adesomo's NPI number?

The NPI number for Adebayo Adesomo is 1265967442. It was assigned to this individual provider in the NPPES registry on April 26, 2017.

Q: What is Adebayo Adesomo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Adebayo Adesomo was last updated on October 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 26, 2017PECOS Enrolled

30 N 1900 E RM 2B200, SALT LAKE CITY, UT 84132(801) 213-3716 Get Directions Write a Review

NPPES record last updated: October 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2021, Jun 28, 2021, May 26, 2021 and 2 more (5 updates tracked since 2017).

On this page

About Adebayo A. Adesomo Md NPPES

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

ADEBAYO A. ADESOMO MD (NPI 1265967442) is an individual obstetrics & gynecology provider in Salt Lake City, Utah, licensed in Utah (12208312-1205) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1265967442

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameADEBAYO A. ADESOMOCredential: MD

Location Address30 N 1900 E RM 2B200Salt Lake City, UT 84132-2209

Mailing Address30 N 1900 E Rm 2b200Salt Lake City, UT 84132-2209 · (801) 213-3716

Phone(801) 213-3716

Sole ProprietorNo

Enumeration DateApril 26, 2017

Last NPPES UpdateOctober 16, 20215 updates tracked since enumeration

NPPES CertifiedOctober 16, 2021

✔ NPI 1265967442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in UT · 12208312-1205

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X · License 12208312-1205 (UT)

30 N 1900 E RM 2B200, Salt Lake City, UT 84132

Open in Google Maps ↗

Secondary Practice Location 1

Location 1410 W 10th AveColumbus, OH 43210-1240 · Phone (614) 293-8045

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adebayo A. Adesomo 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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 18

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

LILLIAN B. BOETTCHER MD

Obstetrics & Gynecology