MOFOLASAYO MOTUNRAYO ADENIYI MD
NPI 1831610724
Pediatrics in Wilkes Barre, PA

Q: What is Mofolasayo Adeniyi's NPI number?

The NPI number for Mofolasayo Adeniyi is 1831610724. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Q: What is Mofolasayo Adeniyi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since June 29, 2017PECOS Enrolled

175 S WILKES BARRE BLVD, WILKES BARRE, PA 18702(570) 829-2621(570) 823-4332 Get Directions Write a Review

NPPES record last updated: December 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 22, 2020, May 29, 2020, Jun 29, 2017 (3 updates tracked since 2017).

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About Mofolasayo Motunrayo Adeniyi Md NPPES

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

MOFOLASAYO MOTUNRAYO ADENIYI MD (NPI 1831610724) is an individual pediatrics provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD479433) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831610724

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMOFOLASAYO MOTUNRAYO ADENIYICredential: MD

Location Address175 S WILKES BARRE BLVDWilkes Barre, PA 18702-5040

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144

Phone(570) 829-2621

Fax(570) 823-4332

Sole ProprietorNo

Enumeration DateJune 29, 2017

Last NPPES UpdateDecember 2, 20233 updates tracked since enumeration

NPPES CertifiedDecember 2, 2023

✔ NPI 1831610724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in PA · MD479433✔ Licensed in WV · 29560

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

175 S WILKES BARRE BLVD, Wilkes Barre, PA 18702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mofolasayo Motunrayo Adeniyi 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.

Medicare Billing Reassignments

Medicare enrollment records show Mofolasayo Adeniyi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Caring Community Health Center

Same address

Federally Qualified Health Center (FQHC)

175 S WILKES BARRE BLVD
Wilkes Barre, PA 18702

Reassigned Medicare billing, Pennsylvania enrollment
88 clinicians in this Medicare group

NPI 1679038293 (570) 829-2621

Geisinger Clinic

0.3 mi

Family Medicine

41 S MAIN ST
Wilkes Barre, PA 18701

Reassigned Medicare billing, Pennsylvania enrollment
4,429 clinicians in this Medicare group

NPI 1629681150 (570) 846-4777

Womencare Inc

365 mi

Federally Qualified Health Center (FQHC)

800 PENNSYLVANIA AVE
Charleston, WV 25302

Reassigned Medicare billing, West Virginia enrollment
Also billed through NPI 1871872184 (West Virginia), NPI 1396237434 (West Virginia)
81 clinicians in this Medicare group

NPI 1316228166 (304) 414-1899

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 18702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. PATRICIA ANN WASCAVAGE RPH, MBA

Pharmacist (Pharmacotherapy)