OLUSEGUN M ADEONIGBAGBE MDPC
NPI 1336474287
Clinic/Center - Endoscopy in Hollis, NY
About Olusegun M Adeonigbagbe Mdpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLUSEGUN M ADEONIGBAGBE MDPC (NPI 1336474287) is a healthcare organization registered as an endoscopy in Hollis, New York and active in the NPI registry since October 2009. The organization lists Olusegun Michael Adeonigbagbe, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Olusegun M Adeonigbagbe Mdpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Olusegun M Adeonigbagbe Mdpc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Olusegun M Adeonigbagbe Mdpc's NPI number?
The NPI number for Olusegun M Adeonigbagbe Mdpc is 1336474287. It was assigned to this organization in the NPPES registry on October 9, 2009.
Where is Olusegun M Adeonigbagbe Mdpc located?
Olusegun M Adeonigbagbe Mdpc is located at 19203 Jamaica Ave, Hollis, NY 11423. The listed phone number is (718) 217-7744.
What is Olusegun M Adeonigbagbe Mdpc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.
Is Olusegun M Adeonigbagbe Mdpc enrolled in Medicare?
Yes. Olusegun M Adeonigbagbe Mdpc is registered in the Medicare PECOS enrollment system.
When is Olusegun M Adeonigbagbe Mdpc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Olusegun M Adeonigbagbe Mdpc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Olusegun M Adeonigbagbe Mdpc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Olusegun M Adeonigbagbe Mdpc was last updated on October 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Olusegun M Adeonigbagbe Mdpc · NPI 1336474287
Endoscopy organization in Hollis, New York. Organization record, active in the CMS NPPES registry since October 9, 2009.
## Identity
- **NPI:** 1336474287 (Entity type: Organization)
- **Enumerated:** October 9, 2009
- **Primary specialty:** Clinic/Center - Endoscopy · taxonomy 261QE0800X
- **Organization subpart:** No
- **Authorized official:** Olusegun Adeonigbagbe, PRESIDENT
## Practice location
- **Address:** 19203 JAMAICA AVE, Hollis, NY 11423-2529
- **Phone:** (718) 217-7744 · **Fax:** (718) 217-7233
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Gastroenterology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1336474287) · Data from the CMS NPPES public registry.