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

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: November 01, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Adebayo Adesomo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Womans Health Group PLLC
1,199 mi
Obstetrics & Gynecology
7580 FANNIN ST, STE 335
Houston, TX 77054
  • Reassigned Medicare billing, Texas enrollment
  • 27 clinicians in this Medicare group
NPI 1750532545 (713) 797-9170

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

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 17

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

LILLIAN B. BOETTCHER MD
Obstetrics & Gynecology
30 N 1900 E RM 2B200
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7647
DR. PEGGY A. NORTON MD
Obstetrics & Gynecology
30 N 1900 E RM 2B200
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-3565
SUSAN E. DALTON M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 N 1900 E RM 2B200
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7647
JOSEPH R. MIMS JR. MD, MA
Obstetrics & Gynecology
30 N 1900 E RM 2B200
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
KELLIE WOODFIELD MD
Obstetrics & Gynecology
30 N 1900 E RM 2B200
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-5501
THERESA ROSE KURTZ MD
Obstetrics & Gynecology
30 N 1900 E RM 2B200
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-5501
DR. ADDISON W. ALLEY MD
Obstetrics & Gynecology (Reproductive Endocrinology)
30 N 1900 E RM 2B200
SALT LAKE CITY, UT 84132
Salt Lake County (801) 213-3716
OLIVIA A. MOUMNE MD
Obstetrics & Gynecology
30 N 1900 E RM 2B200
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-5501

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 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.

Where is Adebayo Adesomo located?

Adebayo Adesomo practices at 30 N 1900 E Rm 2b200, Salt Lake City, UT 84132. The listed phone number is (801) 213-3716.

What is Adebayo Adesomo's specialty?

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

Is Adebayo Adesomo enrolled in Medicare?

Yes. Adebayo Adesomo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adebayo Adesomo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adebayo Adesomo reassigns Medicare benefits to Womans Health Group PLLC (Houston, TX). The 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 Adesomo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adebayo Adesomo accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Adebayo Adesomo 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.

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 5 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.