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DR. ADEMUYIWA ADEKOLA ADETUNJI DPM
NPI 1487638854
Podiatrist - Primary Podiatric Medicine in Upper Marlboro, MD

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1450 MERCANTILE LN, STE 151, UPPER MARLBORO, MD 20774(301) 386-5453(301) 386-5396 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ademuyiwa Adekola Adetunji Dpm NPPES

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

DR. ADEMUYIWA ADEKOLA ADETUNJI DPM (NPI 1487638854) is an individual primary podiatric medicine provider in Upper Marlboro, Maryland, licensed in Maryland (01264) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1487638854
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameDR. ADEMUYIWA ADEKOLA ADETUNJICredential: DPM
Location Address1450 MERCANTILE LN, STE 151Upper Marlboro, MD 20774-5376
Mailing AddressP.o.box 265Fulton, MD 20759-0265 · (301) 386-5453 · Fax (301) 386-5396
Phone(301) 386-5453
Fax(301) 386-5396
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 30, 2005
Last NPPES UpdateMay 10, 2017
✔ NPI 1487638854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in MD · 01264
1450 MERCANTILE LN, Upper Marlboro, MD 20774
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Other Identifiers 2

Medicare UPINU71263MD
Medicaid319906101MD

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. Ademuyiwa Adekola Adetunji Dpm 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 ID7012943996
PECOS Enrollment IDI20070702000224
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 Reassignment

Medicare enrollment records show Ademuyiwa Adetunji reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Largo Foot & Ankle Health Center And Ambulatory Surgical Center,inc'
Same address
Foot & Ankle Surgery
1450 MERCANTILE LN STE 151
Upper Marlboro, MD 20774
  • Reassigned Medicare billing, District of Columbia enrollment
NPI 1962596031 (301) 386-5453

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.

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.
986 services359 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
500 services251 patients
Removal of noncancer thickened skin growth, more than 4 growths 11057
This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
306 services148 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
277 services146 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
191 services116 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
58 services58 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
1%403 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
0%527 patients1/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%804 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
87%107 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%215 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
91%1,178 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
14%854 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
0%765 patients1/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
67%1,178 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,178 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
16%1,178 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier16 claims32 services$61.54 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier14 claims76 services$37.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

DR. DOREEN BLAKE M.D.
Internal Medicine
1450 MERCANTILE LN, SUITE 111
LARGO, MD 20774
Prince George's County (301) 925-7610
MR. JATIN R MATTA PA-C, MPAS
Physician Assistant
1450 MERCANTILE LN, SUITE 217
LARGO, MD 20774
Prince George's County (301) 583-7770
LUMINIS HEALTH MEDICAL GROUP, LLC
Internal Medicine
1450 MERCANTILE LN, SUITE 111
LARGO, MD 20774
Prince George's County (301) 925-7610
HOLISTIC HEALTH AND WELLNESS MEDICAL SPA
Nurse Practitioner (Acute Care)
1450 MERCANTILE LN, SUITE 221
LARGO, MD 20774
Prince George's County (240) 280-6267
HOLISTIC HEALTH & WELLNESS MEDICAL SPA
Pain Medicine (Pain Medicine)
1450 MERCANTILE LN, 221
LARGO, MD 20774
Prince George's County (301) 772-1500
DR. LISA VALDENE THOMPSON DDS
Dentist (General Practice)
1450 MERCANTILE LN, SUITE 207A
LARGO, MD 20774
Prince George's County (240) 455-7484
BLAKE & SLOAN PC
Internal Medicine
1450 MERCANTILE LN, SUITE 111
LARGO, MD 20774
Prince George's County (301) 925-7610
DR. MEETU AGRAWAL MD
Internal Medicine
1450 MERCANTILE LN, SUITE 111
LARGO, MD 20774
Prince George's County (301) 925-7610

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 Ademuyiwa Adetunji's NPI number?

The NPI number for Ademuyiwa Adetunji is 1487638854. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Ademuyiwa Adetunji located?

Ademuyiwa Adetunji practices at 1450 Mercantile Ln Ste 151, Upper Marlboro, MD 20774. The listed phone number is (301) 386-5453.

What is Ademuyiwa Adetunji's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Ademuyiwa Adetunji enrolled in Medicare?

Yes. Ademuyiwa Adetunji 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 organization bills Medicare for Ademuyiwa Adetunji's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ademuyiwa Adetunji reassigns Medicare benefits to Largo Foot & Ankle Health Center And Ambulatory Surgical Center,inc' (Upper Marlboro, MD). The 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 Ademuyiwa Adetunji'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 Ademuyiwa Adetunji was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.