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SAMUEL ADEKUNLE ADEFEYISAN MD
NPI 1568673556
Anesthesiology in Grand Prairie, TX

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment
4314 CLAYTON ST, GRAND PRAIRIE, TX 75052(214) 708-9590 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Adekunle Adefeyisan Md NPPES

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

SAMUEL ADEKUNLE ADEFEYISAN MD (NPI 1568673556) is an individual anesthesiology provider in Grand Prairie, Texas, licensed in Georgia (062934) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Piedmont Columbus Regional Midtown, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1568673556
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameSAMUEL ADEKUNLE ADEFEYISANCredential: MD
Location Address4314 CLAYTON STGrand Prairie, TX 75052-3433
Mailing Address4314 Clayton StGrand Prairie, TX 75052-3433 · (214) 708-9590
Phone(214) 708-9590
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 24, 2007
Last NPPES UpdateDecember 16, 2024
NPPES CertifiedDecember 16, 2024
✔ NPI 1568673556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in GA · 062934✔ Licensed in AL · MD.29707✔ Licensed in SC · 83699
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedPediatricsTaxonomy 208000000X · License 062934 (GA), MD.2009 (AL)
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 062934 (GA), MD.29707 (AL)
4314 CLAYTON ST, Grand Prairie, TX 75052
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Other Identifiers 1

MedicaidQ46839SC

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

Samuel Adekunle Adefeyisan 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 ID8527183839
PECOS Enrollment IDI20190820003073
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.

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

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 Samuel Adefeyisan's NPI number?

The NPI number for Samuel Adefeyisan is 1568673556. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Samuel Adefeyisan located?

Samuel Adefeyisan practices at 4314 Clayton St, Grand Prairie, TX 75052. The listed phone number is (214) 708-9590.

What is Samuel Adefeyisan's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Samuel Adefeyisan enrolled in Medicare?

Yes. Samuel Adefeyisan 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.

Is Samuel Adefeyisan affiliated with any hospitals?

According to CMS data, Samuel Adefeyisan is affiliated with Piedmont Columbus Regional Midtown.

When was this NPI record last updated?

The NPPES record for Samuel Adefeyisan was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.