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MISS OLUWADAMILOLA MERCY ADEGBENRO M.D
NPI 1629872601
Student in an Organized Health Care Education/Training Program in O'fallon, IL

Active since April 01, 2025PECOS Enrolled
3 SAINT ELIZABETHS BLVD, SUITE 4000, O'FALLON, IL 62269(618) 233-7880 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Oluwadamilola Mercy Adegbenro M.d NPPES

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

MISS OLUWADAMILOLA MERCY ADEGBENRO M.D (NPI 1629872601) is an individual student in an organized health care education/training program in O'fallon, Illinois and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629872601
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS OLUWADAMILOLA MERCY ADEGBENROCredential: M.D
Location Address3 SAINT ELIZABETHS BLVD, SUITE 4000O'fallon, IL 62269
Mailing Address3 Saint Elizabeths Blvd, Suite 4000O'fallon, IL 62269 · (618) 233-7880
Phone(618) 233-7880
Sole ProprietorNo
Enumeration DateApril 1, 2025
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1629872601 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.
3 SAINT ELIZABETHS BLVD, O'fallon, IL 62269
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Oluwadamilola Mercy Adegbenro M.d 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 Oluwadamilola Adegbenro's NPI number?

The NPI number for Oluwadamilola Adegbenro is 1629872601. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Oluwadamilola Adegbenro located?

Oluwadamilola Adegbenro practices at 3 Saint Elizabeths Blvd Suite 4000, O'fallon, IL 62269. The listed phone number is (618) 233-7880.

What is Oluwadamilola Adegbenro's specialty?

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

Is Oluwadamilola Adegbenro enrolled in Medicare?

Yes. Oluwadamilola Adegbenro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oluwadamilola Adegbenro was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.