ADEDAMOLA SIMBIAT BADEWA MD
NPI 1780387910
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since March 27, 2023PECOS Enrolled
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(651) 434-5821 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Adedamola Simbiat Badewa Md NPPES

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

ADEDAMOLA SIMBIAT BADEWA MD (NPI 1780387910) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780387910
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameADEDAMOLA SIMBIAT BADEWACredential: MD
Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701
Mailing Address4100 Rhode Island Ave Apt 326Brentwood, MD 20722-1487 · (651) 434-5821
Sole ProprietorYes
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 24, 2023
✔ NPI 1780387910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1935 MEDICAL DISTRICT DR, Dallas, TX 75235

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adedamola Simbiat Badewa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics, Critical Care)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

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 Adedamola Badewa's NPI number?

The NPI number for Adedamola Badewa is 1780387910. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Adedamola Badewa located?

Adedamola Badewa practices at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (651) 434-5821.

What is Adedamola Badewa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Adedamola Badewa enrolled in Medicare?

Yes. Adedamola Badewa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adedamola Badewa was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.