MODUPE R ADEDOJA NP
NPI 1346567013
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ
About Modupe R Adedoja Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MODUPE R ADEDOJA NP (NPI 1346567013) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (288675) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Accepted Insurance
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
Modupe R Adedoja Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Modupe Adedoja reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Avondale, AZ 85392
- Reassigned Medicare billing, Arizona enrollment
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 85003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Modupe Adedoja's NPI number?
The NPI number for Modupe Adedoja is 1346567013. It was assigned to this individual provider in the NPPES registry on April 21, 2010. The provider is also known as Rafatu Yisa.
Where is Modupe Adedoja located?
Modupe Adedoja practices at 111 W Monroe St Ste 300, Phoenix, AZ 85003. The listed phone number is (205) 536-8400.
What is Modupe Adedoja's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Modupe Adedoja enrolled in Medicare?
Yes. Modupe Adedoja 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 organization bills Medicare for Modupe Adedoja's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Modupe Adedoja reassigns Medicare benefits to Reformed Mind Health And Treatment LLC (Avondale, AZ). 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 Modupe Adedoja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Modupe Adedoja accept?
Health plans from Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Modupe Adedoja 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 Modupe Adedoja was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Modupe R Adedoja, NP · NPI 1346567013
Psychiatric/Mental Health physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 21, 2010.
## Identity
- **NPI:** 1346567013 (Entity type: Individual)
- **Enumerated:** April 21, 2010
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 288675 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 W MONROE ST STE 300, Phoenix, AZ 85003-1718
- **Phone:** (205) 536-8400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Reformed Mind Health And Treatment LLC (NPI 1205786738, Avondale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** December 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1346567013) · Data from the CMS NPPES public registry.