DR. ADEDOTUN OLUTOYIN ADEWALE MD
NPI 1457742546
Pediatrics - Pediatric Critical Care Medicine in Saint Louis, MO

Active since February 10, 2015PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1 CHILDRENS PL, DIV PED CRITICAL CARE MED, SAINT LOUIS, MO 63110(314) 454-2527(314) 747-8880 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Jul 12, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Adedotun Olutoyin Adewale Md NPPES

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

DR. ADEDOTUN OLUTOYIN ADEWALE MD (NPI 1457742546) is an individual pediatric critical care medicine provider in Saint Louis, Missouri, licensed in Missouri (2022017545) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1457742546
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. ADEDOTUN OLUTOYIN ADEWALECredential: MD
Location Address1 CHILDRENS PL, DIV PED CRITICAL CARE MEDSaint Louis, MO 63110-1002
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-2527 · Fax (314) 747-8880
Fax(314) 747-8880
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 10, 2015
Last NPPES UpdateApril 15, 20254 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
NPI 1457742546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in MO · 2022017545
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 2022017545 (MO)
1 CHILDRENS PL, Saint Louis, MO 63110

Other Identifiers 1

Medicaid200110809MO

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

Dr. Adedotun Olutoyin Adewale Md 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 ID5092062653
PECOS Enrollment IDI20230126000672
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 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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

Social Worker (Clinical)
1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110
Psychiatry & Neurology (Neurology)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Audiologist-Hearing Aid Fitter
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110
Nurse Practitioner (Neonatal, Critical Care)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110
Hospitalist
1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110
Pediatrics
1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110

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 Adedotun Adewale's NPI number?

The NPI number for Adedotun Adewale is 1457742546. It was assigned to this individual provider in the NPPES registry on February 10, 2015.

Where is Adedotun Adewale located?

Adedotun Adewale practices at 1 Childrens Pl Div Ped Critical Care Med, Saint Louis, MO 63110. The listed phone number is (314) 454-2527.

What is Adedotun Adewale's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Adedotun Adewale enrolled in Medicare?

Yes. Adedotun Adewale 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.

When was this NPI record last updated?

The NPPES record for Adedotun Adewale was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.