MOGBONJUBOLA A ADEYEMO MD PROFESSIONAL MEDICAL CORPORATION
NPI 1770033276
Internal Medicine in Hemet, CA
About Mogbonjubola A Adeyemo Md Professional Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOGBONJUBOLA A ADEYEMO MD PROFESSIONAL MEDICAL CORPORATION (NPI 1770033276) is a healthcare organization registered as an internal medicine in Hemet, California and active in the NPI registry since October 2016. The organization lists Marita Wagner, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mogbonjubola A Adeyemo Md Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mogbonjubola A Adeyemo MD Professional Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mogbonjubola A Adeyemo MD Professional Medical Corporation's NPI number?
The NPI number for Mogbonjubola A Adeyemo MD Professional Medical Corporation is 1770033276. It was assigned to this organization in the NPPES registry on October 7, 2016.
Where is Mogbonjubola A Adeyemo MD Professional Medical Corporation located?
Mogbonjubola A Adeyemo MD Professional Medical Corporation is located at 361 N San Jacinto St Suite A B C, Hemet, CA 92543. The listed phone number is (951) 492-0728.
What is Mogbonjubola A Adeyemo MD Professional Medical Corporation's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mogbonjubola A Adeyemo MD Professional Medical Corporation enrolled in Medicare?
Yes. Mogbonjubola A Adeyemo MD Professional Medical Corporation is registered in the Medicare PECOS enrollment system.
When is Mogbonjubola A Adeyemo MD Professional Medical Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mogbonjubola A Adeyemo MD Professional Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mogbonjubola A Adeyemo MD Professional Medical Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mogbonjubola A Adeyemo MD Professional Medical Corporation was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mogbonjubola A Adeyemo Md Professional Medical Corporation · NPI 1770033276
Internal Medicine organization in Hemet, California. Organization record, active in the CMS NPPES registry since October 7, 2016.
## Identity
- **NPI:** 1770033276 (Entity type: Organization)
- **Enumerated:** October 7, 2016
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Marita Wagner, CREDENTIALING MANAGER
## Practice location
- **Address:** 361 N SAN JACINTO ST, SUITE A B C, Hemet, CA 92543-3118
- **Phone:** (951) 492-0728
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1770033276) · Data from the CMS NPPES public registry.