DR. ADEDOTUN OLUTOYIN ADEWALE MD
NPI 1457742546
Pediatrics - Pediatric Critical Care Medicine in Saint Louis, MO
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
Specialties & Licenses 2
Other Identifiers 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Adedotun Adewale reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 628 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 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.
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.
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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.
Which organizations bill Medicare for Adedotun Adewale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adedotun Adewale reassigns Medicare benefits to 2 organizations: Washington University (Saint Louis, MO) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). 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 Adedotun Adewale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 18 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.
# Dr. Adedotun Olutoyin Adewale, MD · NPI 1457742546
Pediatric Critical Care Medicine physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since February 10, 2015.
## Identity
- **NPI:** 1457742546 (Entity type: Individual)
- **Enumerated:** February 10, 2015
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 2022017545 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CHILDRENS PL, DIV PED CRITICAL CARE MED, Saint Louis, MO 63110-1002
- **Phone:** (314) 454-2527 · **Fax:** (314) 747-8880
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Washington University (NPI 1194765685, Saint Louis, MO); The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** April 15, 2025
- **Other identifiers:** Medicaid 200110809 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1457742546) · Data from the CMS NPPES public registry.