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

Active since June 24, 2008PECOS Enrolled
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: July 19, 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
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

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ibironke Vivian Adelaja M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
169 services133 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
91 services77 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services59 patients
New patient office or other outpatient visit, 60-74 minutes 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.
56 services56 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
53 services42 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.
43 services43 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.

Surgery (Surgical Oncology)
2335 E KASHIAN LN STE 220
FRESNO, CA 93701
Surgery
2335 E KASHIAN LN STE 220
FRESNO, CA 93701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417118159, enumerated as an "individual" on June 24, 2008.

The provider is located at 2335 E KASHIAN LN STE 220 FRESNO, CA 93701 and the phone number is (559) 256-5140.

Surgery with taxonomy code 208600000X.