1. Home
  2. Directory
  3. South Carolina
  4. Shaw Afb
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ADEOLUWA EMMANUEL ADEWUYI MD
NPI 1437852100
Internal Medicine in Shaw Afb, SC

Active since March 22, 2023PECOS Enrolled
420 POLIFKA DR, SHAW AFB, SC 29152(803) 895-6021 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 15, 2026, Mar 22, 2023 (2 updates tracked since 2023).

About Dr. Adeoluwa Emmanuel Adewuyi Md NPPES

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

DR. ADEOLUWA EMMANUEL ADEWUYI MD (NPI 1437852100) is an individual internal medicine provider in Shaw Afb, South Carolina, licensed in Georgia (110022) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437852100
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ADEOLUWA EMMANUEL ADEWUYICredential: MD
Location Address420 POLIFKA DRShaw Afb, SC 29152-5100
Mailing Address420 Polifka DrShaw Afb, SC 29152-5100 · (803) 895-6021
Phone(803) 895-6021
Sole ProprietorNo
Enumeration DateMarch 22, 2023
Last NPPES UpdateSeptember 15, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1437852100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 110022
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 110022 (GA)
420 POLIFKA DR, Shaw Afb, SC 29152
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adeoluwa Emmanuel Adewuyi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29152 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
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.

MRS. MALLORY SMITH NP
Nurse Practitioner (Primary Care)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-2273
DESMOND JACOB MARROQUIN
Military Health Care Provider (Independent Duty Medical Technicians)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 885-0249
ERICNIESHA TAYLOR LCSW-C, LICSW
Social Worker (Clinical)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-6356
ANA N CHAVIS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-6466
VALERIE LUISA VILLANUEVA PA-C
Physician Assistant (Medical)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (038) 956-5428
MS. THERESA JEAN ULICHNEY CNP
Nurse Practitioner (Women's Health)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-6812
MS. QUOTAICHI NACHION RAMBUS MSW; LISW
Social Worker (Clinical)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-6356
PATTI E BUSSER
Social Worker
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-6095

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 Adeoluwa Adewuyi's NPI number?

The NPI number for Adeoluwa Adewuyi is 1437852100. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Adeoluwa Adewuyi located?

Adeoluwa Adewuyi practices at 420 Polifka Dr, Shaw Afb, SC 29152. The listed phone number is (803) 895-6021.

What is Adeoluwa Adewuyi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Adeoluwa Adewuyi enrolled in Medicare?

Yes. Adeoluwa Adewuyi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adeoluwa Adewuyi was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.