1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Pediatrics
  6. NPI Profile

DR. NICHELLE SECORRA ADEGBITE-MARAVENTANO M.D.
NPI 1891003208
Pediatrics in Philadelphia, PA

Active since September 20, 2010PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104(215) 590-1000(215) 590-2180 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nichelle Secorra Adegbite-maraventano M.d. NPPES

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

DR. NICHELLE SECORRA ADEGBITE-MARAVENTANO M.D. (NPI 1891003208) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD437835) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2004).

NPPES Registry Identity

NPI1891003208
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. NICHELLE SECORRA ADEGBITE-MARAVENTANOCredential: M.D.
Location Address3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIAPhiladelphia, PA 19104-4319
Mailing Address100 Penn Square East - North Tower, Wanamaker Bldg - 9th FloorPhiladelphia, PA 19107-3323 · (267) 425-9232 · Fax (267) 425-9299
Phone(215) 590-1000
Fax(215) 590-2180
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2004
Enumeration DateSeptember 20, 2010
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1891003208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD437835
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.
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
Open in Google Maps ↗

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

Dr. Nichelle Secorra Adegbite-maraventano M.d. 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.

PECOS PAC ID8123262011
PECOS Enrollment IDI20130916000188
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

3

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

Childrens Health Care Associates, Inc
Same address
Neurology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,225 clinicians in this Medicare group
NPI 1033204086 (215) 590-1000
City Of Philadelphia
0.8 mi
Federally Qualified Health Center (FQHC)
555 S 43RD ST, HEALTH CARE CENTER 3
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 157 clinicians in this Medicare group
NPI 1740397769 (215) 685-7522
Peds 360 Plus Corp
11 mi
Pediatrics
361 HIGHLAND AVE STE 206
Jenkintown, PA 19046
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group
NPI 1730940263 (267) 594-8734

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 19104 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 20

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

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Nichelle Adegbite-maraventano's NPI number?

The NPI number for Nichelle Adegbite-maraventano is 1891003208. It was assigned to this individual provider in the NPPES registry on September 20, 2010.

Where is Nichelle Adegbite-maraventano located?

Nichelle Adegbite-maraventano practices at 3401 Civic Center Blvd Children's Hospital Of Philadelphia, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.

What is Nichelle Adegbite-maraventano's specialty?

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

Is Nichelle Adegbite-maraventano enrolled in Medicare?

Yes. Nichelle Adegbite-maraventano 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 Nichelle Adegbite-maraventano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichelle Adegbite-maraventano reassigns Medicare benefits to 3 organizations: Childrens Health Care Associates, Inc (Philadelphia, PA), City Of Philadelphia (Philadelphia, PA) and Peds 360 Plus Corp (Jenkintown, PA). 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 Nichelle Adegbite-maraventano'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 Nichelle Adegbite-maraventano was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.