ABIDEMI ADETOYESE ADEGBOLA M.D
NPI 1669544169
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment
3905 FORD RD, SUITE 6, PHILADELPHIA, PA 19131(215) 220-2196 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Abidemi Adetoyese Adegbola M.d NPPES

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

ABIDEMI ADETOYESE ADEGBOLA M.D (NPI 1669544169) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD446583) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in East Stroudsburg, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1669544169
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameABIDEMI ADETOYESE ADEGBOLACredential: M.D
Location Address3905 FORD RD, SUITE 6Philadelphia, PA 19131-2824
Mailing Address834 Chestnut St, Ph113Philadelphia, PA 19107-5127 · (314) 348-4546
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 14, 2006
Last NPPES UpdateJune 17, 2021
NPPES CertifiedJune 17, 2021
NPI 1669544169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in PA · MD446583 Licensed in NH · 13062
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedMedical Genetics · Clinical Genetics (M.D.)Taxonomy 207SG0201X · License 227766 (MA)
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 13062 (NH)
3905 FORD RD, Philadelphia, PA 19131

Secondary Practice Location 1

Location 1206 E Brown StEast Stroudsburg, PA 18301-3006 · Phone (570) 476-3422

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Abidemi Adetoyese Adegbola M.d 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 ID1153427281
PECOS Enrollment IDI20161202002006
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 19131 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

Counselor (Professional)
3905 FORD RD
PHILADELPHIA, PA 19131
Counselor (Mental Health)
3905 FORD RD, SUITE 6
PHILADELPHIA, PA 19131
Counselor (Professional)
3905 FORD RD, SUITE 6
PHILADELPHIA, PA 19131
Counselor (Mental Health)
3905 FORD RD, SUITE 6
PHILADELPHIA, PA 19131
Community/Behavioral Health
3905 FORD RD
PHILADELPHIA, PA 19131
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3905 FORD RD
PHILADELPHIA, PA 19131
Psychiatry & Neurology (Psychiatry)
3905 FORD RD
PHILADELPHIA, PA 19131
Counselor (Mental Health)
3905 FORD RD, SUITE #6
PHILADELPHIA, PA 19131

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 Abidemi Adegbola's NPI number?

The NPI number for Abidemi Adegbola is 1669544169. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Abidemi Adegbola located?

Abidemi Adegbola practices at 3905 Ford Rd Suite 6, Philadelphia, PA 19131. The listed phone number is (215) 220-2196.

What is Abidemi Adegbola's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Abidemi Adegbola enrolled in Medicare?

Yes. Abidemi Adegbola 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.

What insurance does Abidemi Adegbola accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Abidemi Adegbola 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.

When was this NPI record last updated?

The NPPES record for Abidemi Adegbola was last updated on June 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.