BOLAJI KEHINDE ADETIBA MSN-ANP
NPI 1568700979
Nurse Practitioner - Adult Health in Dallas, TX

Active since January 18, 2013PECOS Enrolled
9 MEDICAL PKWY, STE 308, DALLAS, TX 75234(972) 888-7240(972) 888-7285 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bolaji Kehinde Adetiba Msn-anp NPPES

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

BOLAJI KEHINDE ADETIBA MSN-ANP (NPI 1568700979) is an individual adult health provider in Dallas, Texas, licensed in Texas (731957) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568700979
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameBOLAJI KEHINDE ADETIBACredential: MSN-ANP
Location Address9 MEDICAL PKWY, STE 308Dallas, TX 75234-7858
Mailing AddressPo Box 2932Yuma, AZ 85366-2401 · (928) 276-4477 · Fax (928) 276-4481
Fax(972) 888-7285
Sole ProprietorNo
Enumeration DateJanuary 18, 2013
Last NPPES UpdateDecember 6, 2017
NPI 1568700979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in TX · 731957
9 MEDICAL PKWY, Dallas, TX 75234

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bolaji Kehinde Adetiba Msn-anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75234 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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.

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…
61%38 patients3/55-star benchmark: 100%
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.
95%115 patients4/55-star benchmark: 99%
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.
12%51 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
7%59 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…
29%51 patients2/55-star benchmark: 100%
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.
2%51 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.

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 (Cardiovascular Disease)
9 MEDICAL PKWY, PLAZA 4, SUITE 207
DALLAS, TX 75234
Physical Medicine & Rehabilitation
9 MEDICAL PKWY, STE 308
DALLAS, TX 75234
Internal Medicine (Hepatology)
9 MEDICAL PKWY, PLAZA 4 STE 206
DALLAS, TX 75234
Clinic/Center (Health Service)
9 MEDICAL PKWY, SUITE 209
DALLAS, TX 75234
Surgery (Plastic and Reconstructive Surgery)
9 MEDICAL PKWY, SUITE 102
DALLAS, TX 75234
Podiatrist (Foot Surgery)
9 MEDICAL PKWY, PROFESSIONAL PLAZA 4, SUITE 304
FARMERS BRANCH, TX 75234
Nurse Practitioner (Adult Health)
9 MEDICAL PKWY, PLAZA 4 STE. 301
DALLAS, TX 75234
Surgery
9 MEDICAL PKWY, SUITE 301
DALLAS, TX 75234

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 Bolaji Adetiba's NPI number?

The NPI number for Bolaji Adetiba is 1568700979. It was assigned to this individual provider in the NPPES registry on January 18, 2013.

Where is Bolaji Adetiba located?

Bolaji Adetiba practices at 9 Medical Pkwy Ste 308, Dallas, TX 75234. The listed phone number is (972) 888-7240.

What is Bolaji Adetiba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Bolaji Adetiba enrolled in Medicare?

Yes. Bolaji Adetiba is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bolaji Adetiba was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.