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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IGBAGBOLEKE MOBOLAJI
NPI 1609677780
Internal Medicine in Salem, VA

Active since March 24, 2025PECOS Enrolled
1900 ELECTRIC RD, SALEM, VA 24153(540) 776-4793 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 31, 2026, Aug 26, 2026, Mar 24, 2025 (3 updates tracked since 2025).

About Igbagboleke Mobolaji NPPES

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

IGBAGBOLEKE MOBOLAJI (NPI 1609677780) is an individual internal medicine provider in Salem, Virginia, licensed in Virginia (0101290381) and active in the NPI registry since March 2025. The provider is enrolled in Medicare PECOS and maintains a secondary practice location in Catawba.

NPPES Registry Identity

NPI1609677780
Entity TypeIndividual
Primary Taxonomy207R00000X
Provider Legal NameIGBAGBOLEKE MOBOLAJI
Location Address1900 ELECTRIC RDSalem, VA 24153-7474
Mailing Address5525 Catawba Hospital DrCatawba, VA 24070-2115
Phone(540) 776-4793
Sole ProprietorNo
Enumeration DateMarch 24, 2025
Last NPPES UpdateAugust 31, 20263 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1609677780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101290381
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1900 ELECTRIC RD, Salem, VA 24153
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Secondary Practice Location 1

Location 15525 Catawba Hospital DrCatawba, VA 24070-2115 · Phone (540) 375-4200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Igbagboleke Mobolaji 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 24153 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

VISTA RADIOLOGY CONSULTANTS, LLC
Radiology (Vascular & Interventional Radiology)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 815-7842
JENNA LYNN POLLOCK
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
ACUTE SURGICAL CARE SPECIALISTS OF VIRGINIA, LLC
Surgery (Trauma Surgery)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
MARK D HAMILTON M.D.
Anesthesiology
1900 ELECTRIC RD, ANESTHESIA DEPARTMENT
SALEM, VA 24153
Salem City (540) 776-4000
MITCHELL SIMPSON CROWE DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
SHEHRYAR KHANZADA DO
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 444-4817
DISHABEN BHARATKUMAR PATEL
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 761-8027
KRISTIN MIRENDA CRNA
Nurse Anesthetist, Certified Registered
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 493-4581

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 Igbagboleke Mobolaji's NPI number?

The NPI number for Igbagboleke Mobolaji is 1609677780. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Igbagboleke Mobolaji located?

Igbagboleke Mobolaji practices at 1900 Electric Rd, Salem, VA 24153. The listed phone number is (540) 776-4793.

What is Igbagboleke Mobolaji's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Igbagboleke Mobolaji enrolled in Medicare?

Yes. Igbagboleke Mobolaji is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Igbagboleke Mobolaji was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.