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DR. ADERONKE OLUFUNLOLA BAMGBOSE PEDERSON MD
NPI 1396139655
Psychiatry & Neurology - Psychiatry in Boston, MA

Active since March 25, 2015PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 1, 2023, Sep 27, 2021, Sep 14, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Aderonke Olufunlola Bamgbose Pederson Md NPPES

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

DR. ADERONKE OLUFUNLOLA BAMGBOSE PEDERSON MD (NPI 1396139655) is an individual psychiatry provider in Boston, Massachusetts, licensed in Massachusetts (T290198) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Weymouth, and is a graduate of Northwestern University Feinberg Medical School (2015).

NPPES Registry Identity

NPI1396139655
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ADERONKE OLUFUNLOLA BAMGBOSE PEDERSONCredential: MD
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address64 Bertwell RdLexington, MA 02420-3330 · (773) 310-3224
Phone(617) 724-4100
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2015
Enumeration DateMarch 25, 2015
Last NPPES UpdateJune 1, 20235 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1396139655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in MA · T290198✔ Licensed in IL · 1396139655
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
55 FRUIT ST, Boston, MA 02114
Open in Google Maps ↗

Other Names 1

Former Name (1)Aderonke Olufunlola Bamgbose

Secondary Practice Location 1

Location 155 Fogg RdWeymouth, MA 02190-2432 · Phone (781) 624-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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

Dr. Aderonke Olufunlola Bamgbose Pederson Md 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 ID2567745318
PECOS Enrollment IDI20210930002257
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
79 services76 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 20

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

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Aderonke Bamgbose Pederson's NPI number?

The NPI number for Aderonke Bamgbose Pederson is 1396139655. It was assigned to this individual provider in the NPPES registry on March 25, 2015. The provider is also known as Aderonke Olufunlola Bamgbose.

Where is Aderonke Bamgbose Pederson located?

Aderonke Bamgbose Pederson practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 724-4100.

What is Aderonke Bamgbose Pederson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Aderonke Bamgbose Pederson enrolled in Medicare?

Yes. Aderonke Bamgbose Pederson 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.

What insurance does Aderonke Bamgbose Pederson accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Aderonke Bamgbose Pederson 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 Aderonke Bamgbose Pederson was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.