ADEDAYO ODUWOLE
NPI 1417419144
Radiology - Diagnostic Radiology in Philadelphia, PA

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 662-3264 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2024, Apr 2, 2019 (2 updates tracked since 2019).

About Adedayo Oduwole NPPES

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

ADEDAYO ODUWOLE (NPI 1417419144) is an individual diagnostic radiology provider in Philadelphia, Pennsylvania, licensed in New York (317134) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1417419144
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameADEDAYO ODUWOLE
Location Address3400 CIVIC CENTER BLVDPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center BlvdPhiladelphia, PA 19104-5127
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateFebruary 10, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
NPI 1417419144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in NY · 317134 Licensed in PA · MD484619
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

Secondary Practice Location 1

Location 15501 Old York RdPhiladelphia, PA 19141-3018 · Phone (215) 456-7000 · Fax (215) 456-5926

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

Adedayo Oduwole 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 ID9133458938
PECOS Enrollment IDI20260120002346
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104

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 Adedayo Oduwole's NPI number?

The NPI number for Adedayo Oduwole is 1417419144. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Adedayo Oduwole located?

Adedayo Oduwole practices at 3400 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 662-3264.

What is Adedayo Oduwole's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Adedayo Oduwole enrolled in Medicare?

Yes. Adedayo Oduwole 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.

Is Adedayo Oduwole affiliated with any hospitals?

According to CMS data, Adedayo Oduwole is affiliated with Albert Einstein Medical Center and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Adedayo Oduwole was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.