DR. ADEWUNMI OLUMUYIWA ADELAJA MD, PHD
NPI 1396488615
Dermatology in Boston, MA
About Dr. Adewunmi Olumuyiwa Adelaja Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ADEWUNMI OLUMUYIWA ADELAJA MD, PHD (NPI 1396488615) is an individual dermatology provider in Boston, Massachusetts, licensed in Massachusetts (1026223) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 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 (PECOS)
Dr. Adewunmi Olumuyiwa Adelaja Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Adewunmi Adelaja reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 2,579 clinicians in this Medicare group
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 02215 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
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 Adewunmi Adelaja's NPI number?
The NPI number for Adewunmi Adelaja is 1396488615. It was assigned to this individual provider in the NPPES registry on April 14, 2022.
Where is Adewunmi Adelaja located?
Adewunmi Adelaja practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 667-7000.
What is Adewunmi Adelaja's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Adewunmi Adelaja enrolled in Medicare?
Yes. Adewunmi Adelaja is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Adewunmi Adelaja's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adewunmi Adelaja reassigns Medicare benefits to Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA). 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 Adewunmi Adelaja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adewunmi Adelaja accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Adewunmi Adelaja 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 Adewunmi Adelaja was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Dr. Adewunmi Olumuyiwa Adelaja, MD, PHD · NPI 1396488615
Dermatology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since April 14, 2022.
## Identity
- **NPI:** 1396488615 (Entity type: Individual)
- **Enumerated:** April 14, 2022
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 1026223 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 330 BROOKLINE AVE, Boston, MA 02215-5400
- **Phone:** (617) 667-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (NPI 1194765438, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396488615) · Data from the CMS NPPES public registry.