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IBIRONKE VIVIAN ADELAJA M.D.
NPI 1417118159
Surgery in Fresno, CA

Active since June 24, 2008PECOS EnrolledAccepts Medicare Assignment
2335 E KASHIAN LN STE 220, FRESNO, CA 93701(559) 256-5140(559) 485-4505 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ibironke Vivian Adelaja M.d. NPPES

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

IBIRONKE VIVIAN ADELAJA M.D. (NPI 1417118159) is an individual surgery provider in Fresno, California, licensed in California (A102787) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clovis, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2006).

NPPES Registry Identity

NPI1417118159
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameIBIRONKE VIVIAN ADELAJACredential: M.D.
Location Address2335 E KASHIAN LN STE 220Fresno, CA 93701-2211
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Phone(559) 256-5140
Fax(559) 485-4505
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2006
Enumeration DateJune 24, 2008
Last NPPES UpdateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
✔ NPI 1417118159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A102787
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2335 E KASHIAN LN STE 220, Fresno, CA 93701
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Secondary Practice Location 1

Location 1782 Medical Center Dr E Ste 101Clovis, CA 93611-6890 · Phone (559) 256-4111 · Fax (559) 256-4113

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

Ibironke Vivian Adelaja M.d. 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 ID4486823192
PECOS Enrollment IDI20110815000866
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ibironke Adelaja reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Faculty Associates, Inc.
Same address
Emergency Medicine
2823 FRESNO ST
Fresno, CA 93721
  • Reassigned Medicare billing, California enrollment
  • 320 clinicians in this Medicare group
NPI 1235537283 (559) 443-2682
Community Health Partners
6.8 mi
Multi-Specialty
7257 N FRESNO ST
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 604 clinicians in this Medicare group
NPI 1952912420 (559) 324-4952

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
178 services168 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services59 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
30 services30 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
28 services28 patients
Injection of radioactive material for x-ray identification of lymph node 38792
This procedure involves injecting a safe radioactive substance into your body. It travels to your lymph nodes, making them visible on X-ray images. This helps in identifying any abnormal nodes for further examination. It's a standard part of many diagnostic processes.
27 services27 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93701 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
2 suppliers37 claims140 services$39.75 avg. paid by Medicare
External breast prosthesis garment, with mastectomy form, post mastectomy L8015
DME-Orthotic Devices · category DF000N
2 suppliers13 claims26 services$48.68 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
2 suppliers18 claims22 services$307.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

AMIR HASSAN FATHI MD
Surgery (Surgical Oncology)
2335 E KASHIAN LN STE 220
FRESNO, CA 93701
Fresno County (559) 256-5140
DR. CAMBIA SUSSETTE GREEN ROME M.D.
Surgery
2335 E KASHIAN LN STE 220
FRESNO, CA 93701
Fresno County (559) 453-6600

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 Ibironke Adelaja's NPI number?

The NPI number for Ibironke Adelaja is 1417118159. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Ibironke Adelaja located?

Ibironke Adelaja practices at 2335 E Kashian Ln Ste 220, Fresno, CA 93701. The listed phone number is (559) 256-5140.

What is Ibironke Adelaja's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ibironke Adelaja enrolled in Medicare?

Yes. Ibironke Adelaja 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 organizations bill Medicare for Ibironke Adelaja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ibironke Adelaja reassigns Medicare benefits to 2 organizations: University Faculty Associates, Inc. (Fresno, CA) and Community Health Partners (Fresno, CA). Each 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 Ibironke Adelaja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ibironke Adelaja was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.