ABIDEMI ADETOYESE ADEGBOLA M.D
NPI 1669544169
Psychiatry & Neurology - Psychiatry in Philadelphia, PA
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
Specialties & Licenses 3
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Abidemi Adegbola reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
E Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 500 clinicians in this Medicare group
Roaring Spring, PA 16673
- Reassigned Medicare billing, Pennsylvania enrollment
- 771 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Abidemi Adegbola's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abidemi Adegbola reassigns Medicare benefits to 3 organizations: Family Care Centers Inc. (E Stroudsburg, PA), Dlp Conemaugh Physician Practices LLC (Roaring Spring, PA) and University Hospitals Medical Group Inc (Cleveland, OH). 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 Abidemi Adegbola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abidemi Adegbola accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Abidemi Adetoyese Adegbola, M.D · NPI 1669544169
Psychiatry physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 14, 2006.
## Identity
- **NPI:** 1669544169 (Entity type: Individual)
- **Enumerated:** November 14, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** MD446583 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3905 FORD RD, SUITE 6, Philadelphia, PA 19131-2824
- **Phone:** (215) 220-2196
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Family Care Centers Inc. (NPI 1669563037, E Stroudsburg, PA); Dlp Conemaugh Physician Practices LLC (NPI 1245742188, Roaring Spring, PA); University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** June 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1669544169) · Data from the CMS NPPES public registry.