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DR. ADEBOLA K. ADEKANMBI MD
NPI 1609921212
Internal Medicine in Concord, NC

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment
271 EXECUTIVE PARK DR, CONCORD, NC 28025(704) 721-4232(704) 721-4232 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Adebola K. Adekanmbi Md NPPES

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

DR. ADEBOLA K. ADEKANMBI MD (NPI 1609921212) is an individual internal medicine provider in Concord, North Carolina, licensed in North Carolina (9900744) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Anson, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1609921212
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ADEBOLA K. ADEKANMBICredential: MD
Location Address271 EXECUTIVE PARK DRConcord, NC 28025-1895
Mailing Address271 Ne Executive Park Drive, Providence Medical Clinic, In Dba Cabarrus Mercy ClinicConcord, NC 28025 · (704) 707-4601
Phone(704) 721-4232
Fax(704) 721-4232
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 24, 2007
Last NPPES UpdateMay 19, 2009
✔ NPI 1609921212 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 NC · 9900744
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 ListedEmergency MedicineTaxonomy 207P00000X · License 9900744 (NC)
271 EXECUTIVE PARK DR, Concord, NC 28025
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Other Identifiers 1

Medicare UPINH01190

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

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. Adebola K. Adekanmbi 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 ID8123911914
PECOS Enrollment IDI20040205000403
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 Reassignments

4

Medicare enrollment records show Adebola Adekanmbi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wake Forest Emergency Providers
29 mi
Multi-Specialty
557 BROOKDALE DR
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 580 clinicians in this Medicare group
NPI 1396216735 (336) 716-2255
Ies South Carolina LLC
81 mi
Emergency Medicine
1304 W BOBO NEWSOM HWY
Hartsville, SC 29550
  • Reassigned Medicare billing, South Carolina enrollment
  • 32 clinicians in this Medicare group
NPI 1821779695 (843) 339-2100
The Carolinas Emergency Group, PLLC
111 mi
Emergency Medicine
800 TILGHMAN DR
Dunn, NC 28334
  • Reassigned Medicare billing, North Carolina enrollment
  • 373 clinicians in this Medicare group
NPI 1477508836 (910) 892-7161
Sound Physicians Emergency Medicine Of South Carolina LLC
146 mi
Emergency Medicine
302 UNIVERSITY PKWY
Aiken, SC 29801
  • Reassigned Medicare billing, South Carolina enrollment
  • 187 clinicians in this Medicare group
NPI 1730636168 (803) 641-5000

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
72 services67 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
62 services57 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
42 services39 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Anson

Acute Care Hospitals · Wadesboro, NC
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340084
Location2301 Us Highway 74 WestWadesboro, NC 28170 · Anson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Adebola Adekanmbi's NPI number?

The NPI number for Adebola Adekanmbi is 1609921212. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Adebola Adekanmbi located?

Adebola Adekanmbi practices at 271 Executive Park Dr, Concord, NC 28025. The listed phone number is (704) 721-4232.

What is Adebola Adekanmbi's specialty?

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

Is Adebola Adekanmbi enrolled in Medicare?

Yes. Adebola Adekanmbi 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 organizations bill Medicare for Adebola Adekanmbi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adebola Adekanmbi reassigns Medicare benefits to 4 organizations: Wake Forest Emergency Providers (Statesville, NC), Ies South Carolina LLC (Hartsville, SC), The Carolinas Emergency Group, PLLC (Dunn, NC) and Sound Physicians Emergency Medicine Of South Carolina LLC (Aiken, SC). Each 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 Adebola Adekanmbi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adebola Adekanmbi accept?

Health plans from BlueCross BlueShield of South Carolina list Adebola Adekanmbi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adebola Adekanmbi affiliated with any hospitals?

According to CMS data, Adebola Adekanmbi is affiliated with Atrium Health Anson.

When was this NPI record last updated?

The NPPES record for Adebola Adekanmbi was last updated on May 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.