OLUSEGUN ADETUYI MD, MPH
NPI 1417275033
Family Medicine in Phoenix, AZ
About Olusegun Adetuyi Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLUSEGUN ADETUYI MD, MPH (NPI 1417275033) is an individual family medicine provider in Phoenix, Arizona, licensed in California (A122119) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Torrance, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 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 and accepts Medicare assignment
Olusegun Adetuyi Md, Mph 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.
Medicare Billing Reassignments
15Medicare enrollment records show Olusegun Adetuyi reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85016
- Reassigned Medicare billing, Texas enrollment
- 599 clinicians in this Medicare group
Joshua Tree, CA 92252
- Reassigned Medicare billing, California enrollment
- 25 clinicians in this Medicare group
Joshua Tree, CA 92252
- Reassigned Medicare billing, California enrollment
- 23 clinicians in this Medicare group
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Apple Valley, CA 92307
- Reassigned Medicare billing, California enrollment
- 914 clinicians in this Medicare group
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 198 clinicians in this Medicare group
Torrance, CA 90505
- Reassigned Medicare billing, California enrollment
- 17 clinicians in this Medicare group
Torrance, CA 90503
- Reassigned Medicare billing, California enrollment
- 36 clinicians in this Medicare group
Merced, CA 95340
- Reassigned Medicare billing, California enrollment
- 126 clinicians in this Medicare group
Modesto, CA 95355
- Reassigned Medicare billing, California enrollment
- 3,056 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Olusegun Adetuyi's NPI number?
The NPI number for Olusegun Adetuyi is 1417275033. It was assigned to this individual provider in the NPPES registry on May 6, 2010.
Where is Olusegun Adetuyi located?
Olusegun Adetuyi practices at 4212 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 263-1200.
What is Olusegun Adetuyi's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Olusegun Adetuyi enrolled in Medicare?
Yes. Olusegun Adetuyi 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 Olusegun Adetuyi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olusegun Adetuyi reassigns Medicare benefits to 15 organizations: Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm (Phoenix, AZ), Desert Group Services, PC (Joshua Tree, CA), White Feather Physicians PC (Joshua Tree, CA), Southern California Permanente Medical Group (San Diego, CA), Hospitalist Medicine Physicians Of California, Inc (Apple Valley, CA) and 10 more organizations, listed in the Medicare section above. 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 Olusegun Adetuyi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Olusegun Adetuyi accept?
Health plans from Oscar Health list Olusegun Adetuyi 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 Olusegun Adetuyi was last updated on January 15, 2024. 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.
# Olusegun Adetuyi, MD, MPH · NPI 1417275033
Family Medicine physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since May 6, 2010.
## Identity
- **NPI:** 1417275033 (Entity type: Individual)
- **Enumerated:** May 6, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A122119 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4212 N 16TH ST, Phoenix, AZ 85016-5319
- **Phone:** (602) 263-1200 · **Fax:** (602) 263-1619
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 15 organizations under Medicare reassignment (form CMS-855R): Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm (NPI 1083643738, Phoenix, AZ); Desert Group Services, PC (NPI 1891240602, Joshua Tree, CA); White Feather Physicians PC (NPI 1710595392, Joshua Tree, CA); Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA); Hospitalist Medicine Physicians Of California, Inc (NPI 1184663965, Apple Valley, CA); and 10 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** January 15, 2024
- **Other identifiers:** Other A122119 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1417275033) · Data from the CMS NPPES public registry.