ADESUA ILOGIENBOH RD
NPI 1497408785
Dietitian, Registered in Newberg, OR

Active since January 27, 2022Accepts Medicare Assignment
1001 N PROVIDENCE DR, NEWBERG, OR 97132(503) 537-1536 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adesua Ilogienboh Rd NPPES

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

ADESUA ILOGIENBOH RD (NPI 1497408785) is an individual dietitian, registered in Newberg, Oregon and active in the NPI registry since January 2022. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1497408785
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameADESUA ILOGIENBOHCredential: RD
Location Address1001 N PROVIDENCE DRNewberg, OR 97132-7485
Mailing Address1001 N Providence DrNewberg, OR 97132-7485 · (503) 537-1536
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 27, 2022
NPPES CertifiedJanuary 27, 2022
NPI 1497408785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1001 N PROVIDENCE DR, Newberg, OR 97132

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

Adesua Ilogienboh Rd 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 ID9133569049
PECOS Enrollment IDI20240425002023

Areas of Expertise CMS Part B claims

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.

Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
74 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97132 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
$0.00 typical visit price
range $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Internal Medicine
1001 N PROVIDENCE DR
NEWBERG, OR 97132
Internal Medicine
1001 N PROVIDENCE DR
NEWBERG, OR 97132
Nurse Practitioner (Pediatrics)
1001 N PROVIDENCE DR
NEWBERG, OR 97132
Anesthesiology
1001 N PROVIDENCE DR
NEWBERG, OR 97132
Emergency Medicine
1001 N PROVIDENCE DR
NEWBERG, OR 97132
Internal Medicine
1001 N PROVIDENCE DR
NEWBERG, OR 97132
Dietitian, Registered
1001 N PROVIDENCE DR
NEWBERG, OR 97132
Internal Medicine
1001 N PROVIDENCE DR
NEWBERG, OR 97132

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 Adesua Ilogienboh's NPI number?

The NPI number for Adesua Ilogienboh is 1497408785. It was assigned to this individual provider in the NPPES registry on January 27, 2022.

Where is Adesua Ilogienboh located?

Adesua Ilogienboh practices at 1001 N Providence Dr, Newberg, OR 97132. The listed phone number is (503) 537-1536.

What is Adesua Ilogienboh's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Adesua Ilogienboh enrolled in Medicare?

Yes. Adesua Ilogienboh 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 Adesua Ilogienboh was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.