ISIAKA A BOLARINWA M.D
NPI 1467403196
Psychiatry & Neurology - Child & Adolescent Psychiatry in Gloucester City, NJ

Q: What is Isiaka Bolarinwa's NPI number?

The NPI number for Isiaka Bolarinwa is 1467403196. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is Isiaka Bolarinwa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Isiaka Bolarinwa was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

822 KLEMM AVE, GLOUCESTER CITY, NJ 08030(856) 282-5566(856) 396-9917 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 14, 2023, Jun 2, 2021, Jan 24, 2019 (3 updates tracked since 2019).

On this page

About Isiaka A Bolarinwa M.d NPPES

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

ISIAKA A BOLARINWA M.D (NPI 1467403196) is an individual child & adolescent psychiatry provider in Gloucester City, New Jersey, licensed in New Jersey (MA072697) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1467403196

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameISIAKA A BOLARINWACredential: M.D

Location Address822 KLEMM AVEGloucester City, NJ 08030-1627

Mailing Address822 Klemm AveGloucester City, NJ 08030-1627 · (856) 282-5566 · Fax (856) 396-9917

Phone(856) 282-5566

Fax(856) 396-9917

Sole ProprietorYes

Medical School CMSOtherGraduated 1979

Enumeration DateMay 15, 2006

Last NPPES UpdateFebruary 24, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2026

✔ NPI 1467403196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in NJ · MA072697

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD-073693-L (PA)

822 KLEMM AVE, Gloucester City, NJ 08030

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Other Identifiers 1

OtherMD073693-LPA · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Isiaka A Bolarinwa M.d 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 ID3779478524

PECOS Enrollment IDI20050909000014, I20260515003155

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 Billing Reassignments

Medicare enrollment records show Isiaka Bolarinwa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Remi LLC

Same address

Psychiatry

822 KLEMM AVE
Gloucester City, NJ 08030

Reassigned Medicare billing, New Jersey enrollment
10 clinicians in this Medicare group

NPI 1144583519 (856) 282-5566

Phc Meadowwood, LLC

33 mi

Psychiatric Hospital

575 S. DUPONT HWY
New Castle, DE 19720

Reassigned Medicare billing, Delaware enrollment
17 clinicians in this Medicare group

NPI 1528357357 (302) 328-3330

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 9

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

1,089 services336 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

753 services294 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

677 services243 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

304 services67 patients

Psychotherapy with evaluation and management visit, 45 minutes 90836

Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.

230 services147 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

204 services197 patients

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST REMI LLC

Psychiatry & Neurology (Psychiatry)