AZEEZAT OMOTOYOSI ADEDUNTAN
NPI 1750927661
Nurse Practitioner - Family in Chicago, IL
About Azeezat Omotoyosi Adeduntan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AZEEZAT OMOTOYOSI ADEDUNTAN (NPI 1750927661) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.020337) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Azeezat Omotoyosi Adeduntan 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
4Medicare enrollment records show Azeezat Adeduntan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- 127 clinicians in this Medicare group
Monee, IL 60449
- Reassigned Medicare billing, Illinois enrollment
- 7 clinicians in this Medicare group
Crownpoint, NM 87313
- Reassigned Medicare billing, Texas enrollment
- 265 clinicians in this Medicare group
Kobuk, AK 99751
- Reassigned Medicare billing, Alaska and Texas enrollments
- 100 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 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60612
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 Azeezat Adeduntan's NPI number?
The NPI number for Azeezat Adeduntan is 1750927661. It was assigned to this individual provider in the NPPES registry on November 26, 2019.
Where is Azeezat Adeduntan located?
Azeezat Adeduntan practices at 2003 W Fulton St Ste 303, Chicago, IL 60612. The listed phone number is (312) 243-2223.
What is Azeezat Adeduntan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Azeezat Adeduntan enrolled in Medicare?
Yes. Azeezat Adeduntan 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 Azeezat Adeduntan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Azeezat Adeduntan reassigns Medicare benefits to 4 organizations: MD @ Home Illinois, Sc (Chicago, IL), Sally Health & Innovative Partners (Monee, IL), Dhhs Phs Naihs Crownpoint Hospital (Crownpoint, NM) and Maniilaq Association (Kobuk, AK). 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 Azeezat Adeduntan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Azeezat Adeduntan was last updated on December 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.
# Azeezat Omotoyosi Adeduntan · NPI 1750927661
Family physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since November 26, 2019.
## Identity
- **NPI:** 1750927661 (Entity type: Individual)
- **Enumerated:** November 26, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.020337 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2003 W FULTON ST STE 303, Chicago, IL 60612-2345
- **Phone:** (312) 243-2223
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): MD @ Home Illinois, Sc (NPI 1568758415, Chicago, IL); Sally Health & Innovative Partners (NPI 1174346415, Monee, IL); Dhhs Phs Naihs Crownpoint Hospital (NPI 1114960093, Crownpoint, NM); Maniilaq Association (NPI 1265709901, Kobuk, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 20, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1750927661) · Data from the CMS NPPES public registry.