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ADEBUSOLA ADESINA
NPI 1386176139
Internal Medicine in Vallejo, CA

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
975 SERENO DR RM H3351, VALLEJO, CA 94589(916) 734-2737 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2023, Jun 23, 2021, Mar 31, 2017 (3 updates tracked since 2017).

About Adebusola Adesina NPPES

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

ADEBUSOLA ADESINA (NPI 1386176139) is an individual internal medicine provider in Vallejo, California, licensed in California (A163027) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1386176139
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameADEBUSOLA ADESINA
Location Address975 SERENO DR RM H3351Vallejo, CA 94589-2441
Mailing Address1601 Trinity StAustin, TX 78712-1765 · (833) 882-2737
Phone(916) 734-2737
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 31, 2017
Last NPPES UpdateNovember 14, 20233 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
✔ NPI 1386176139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A163027
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License T1625 (TX)
975 SERENO DR RM H3351, Vallejo, CA 94589
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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

Adebusola Adesina 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 ID9032510052
PECOS Enrollment IDI20230417002736
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 94589 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
$145.83 typical visit price
range $65.02 – $191.95
Typical copayment $36.45 (range $16.25 – $47.98)
Most-billed visit code 99204
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Adebusola Adesina's NPI number?

The NPI number for Adebusola Adesina is 1386176139. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Adebusola Adesina located?

Adebusola Adesina practices at 975 Sereno Dr Rm H3351, Vallejo, CA 94589. The listed phone number is (916) 734-2737.

What is Adebusola Adesina's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Adebusola Adesina enrolled in Medicare?

Yes. Adebusola Adesina 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.

When was this NPI record last updated?

The NPPES record for Adebusola Adesina was last updated on November 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.