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ADERINSOLA OLUWASIKEMI ODETUNDE MD
NPI 1861165359
Family Medicine in Philadelphia, PA

Active since July 29, 2021PECOS Enrolled
10 SHURS LN STE 301, PHILADELPHIA, PA 19127(484) 659-0357 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Aderinsola Oluwasikemi Odetunde Md NPPES

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

ADERINSOLA OLUWASIKEMI ODETUNDE MD (NPI 1861165359) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT224195) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861165359
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameADERINSOLA OLUWASIKEMI ODETUNDECredential: MD
Location Address10 SHURS LN STE 301Philadelphia, PA 19127-2123
Mailing Address10 Shurs Ln Ste 301Philadelphia, PA 19127-2123
Phone(484) 659-0357
Sole ProprietorNo
Enumeration DateJuly 29, 2021
NPPES CertifiedJune 22, 2021
✔ NPI 1861165359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MT224195
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10 SHURS LN STE 301, Philadelphia, PA 19127
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aderinsola Oluwasikemi Odetunde 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 Reassignment

Medicare enrollment records show Aderinsola Odetunde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Institute For Family Health
80 mi
Family Medicine
300 CADMAN PLZ W, 17TH FLOOR
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 347 clinicians in this Medicare group
NPI 1295262921 (212) 633-0815

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 19127 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMELIA JILL SANDOE M.D.
Family Medicine
10 SHURS LN STE 301
PHILADELPHIA, PA 19127
Philadelphia County (215) 967-1632
DR. STEFANIE SARAH THOMASSIN
Family Medicine
10 SHURS LN STE 301
PHILADELPHIA, PA 19127
Philadelphia County (215) 482-1234
DEREK MOORE
Family Medicine
10 SHURS LN STE 301
PHILADELPHIA, PA 19127
Philadelphia County (215) 967-1632
DR. SHRADDHA KRISHNAN MD
Family Medicine
10 SHURS LN STE 301
PHILADELPHIA, PA 19127
Philadelphia County (215) 967-1632

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 Aderinsola Odetunde's NPI number?

The NPI number for Aderinsola Odetunde is 1861165359. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Where is Aderinsola Odetunde located?

Aderinsola Odetunde practices at 10 Shurs Ln Ste 301, Philadelphia, PA 19127. The listed phone number is (484) 659-0357.

What is Aderinsola Odetunde's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Aderinsola Odetunde enrolled in Medicare?

Yes. Aderinsola Odetunde is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Aderinsola Odetunde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aderinsola Odetunde reassigns Medicare benefits to The Institute For Family Health (Brooklyn, NY). The 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 Aderinsola Odetunde'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 Aderinsola Odetunde was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.