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STEPHEN DEJI ADEDOKUN
NPI 1629575402
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since April 09, 2018PECOS Enrolled
920 MADISON AVE RM 531, MEMPHIS, TN 38103(901) 448-5759 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 11, 2023, Apr 9, 2020, Jul 3, 2019 and 1 more (4 updates tracked since 2018).

About Stephen Deji Adedokun NPPES

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

STEPHEN DEJI ADEDOKUN (NPI 1629575402) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Batesville.

NPPES Registry Identity

NPI1629575402
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSTEPHEN DEJI ADEDOKUN
Location Address920 MADISON AVE RM 531Memphis, TN 38103-3438
Mailing Address920 Madison Ave Rm 531Memphis, TN 38103-3438 · (901) 448-5759
Phone(901) 448-5759
Sole ProprietorYes
Enumeration DateApril 9, 2018
Last NPPES UpdateMay 11, 20234 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1629575402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
920 MADISON AVE RM 531, Memphis, TN 38103
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Secondary Practice Location 1

Location 11710 Harrison StBatesville, AR 72501-7303 · Phone (870) 262-1200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Deji Adedokun 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.

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 Stephen Adedokun's NPI number?

The NPI number for Stephen Adedokun is 1629575402. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Stephen Adedokun located?

Stephen Adedokun practices at 920 Madison Ave Rm 531, Memphis, TN 38103. The listed phone number is (901) 448-5759.

What is Stephen Adedokun's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephen Adedokun enrolled in Medicare?

Yes. Stephen Adedokun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Adedokun was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.