FATAI BOLAJI ADISA PT
NPI 1710930011
Physical Therapist in Merrillville, IN
About Fatai Bolaji Adisa Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FATAI BOLAJI ADISA PT (NPI 1710930011) is an individual physical therapist in Merrillville, Indiana, licensed in Indiana (05005905A) and active in the NPI registry since May 2006. He is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 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
Fatai Bolaji Adisa Pt 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
2Medicare enrollment records show Fatai Adisa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Merrillville, IN 46410
- Reassigned Medicare billing, Indiana enrollment
Merrillville, IN 46410
- Reassigned Medicare billing, Indiana enrollment
- 15 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46410 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MERRILLVILLE, IN 46410
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 Fatai Adisa's NPI number?
The NPI number for Fatai Adisa is 1710930011. It was assigned to this individual provider in the NPPES registry on May 18, 2006.
Where is Fatai Adisa located?
Fatai Adisa practices at 8691 Connecticut St Ste C, Merrillville, IN 46410. The listed phone number is (219) 525-4176.
What is Fatai Adisa's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Fatai Adisa enrolled in Medicare?
Yes. Fatai Adisa 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 Fatai Adisa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fatai Adisa reassigns Medicare benefits to 2 organizations: Rca Physical Therapy, Inc (Merrillville, IN) and Premise Health Of Indiana Medical PC (Merrillville, IN). 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 Fatai Adisa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fatai Adisa accept?
Health plans from Anthem Blue Cross and Blue Shield list Fatai Adisa 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 Fatai Adisa was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Fatai Bolaji Adisa, PT · NPI 1710930011
Physical Therapist provider in Merrillville, Indiana. Individual provider, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1710930011 (Entity type: Individual)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 05005905A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8691 CONNECTICUT ST, STE C, Merrillville, IN 46410-5541
- **Phone:** (219) 525-4176 · **Fax:** (219) 472-0841
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Rca Physical Therapy, Inc (NPI 1811303399, Merrillville, IN); Premise Health Of Indiana Medical PC (NPI 1699278457, Merrillville, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** November 20, 2019
- **Other identifiers:** Medicaid 201269820A (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1710930011) · Data from the CMS NPPES public registry.