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ADETOKUNBO ATINUKE ADEREMI-IBITOLA PA-C
NPI 1932749553
Physician Assistant in Fairfax, VA

Active since January 11, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
11351 RANDOM HILLS RD STE 200, FAIRFAX, VA 22030(443) 351-3376 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 30, 2026, Apr 11, 2023, Jun 4, 2020 and 2 more (5 updates tracked since 2020).

About Adetokunbo Atinuke Aderemi-ibitola Pa-c NPPES

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

ADETOKUNBO ATINUKE ADEREMI-IBITOLA PA-C (NPI 1932749553) is an individual physician assistant in Fairfax, Virginia, licensed in Virginia (0110009227) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mc Lean, and is a graduate of Temple University School Of Medicine (2019).

NPPES Registry Identity

NPI1932749553
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameADETOKUNBO ATINUKE ADEREMI-IBITOLACredential: PA-C
Location Address11351 RANDOM HILLS RD STE 200Fairfax, VA 22030-6081
Mailing AddressPo Box 23329New York, NY 10087-3329
Phone(443) 351-3376
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2019
Enumeration DateJanuary 11, 2020
Last NPPES UpdateJuly 30, 20265 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1932749553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in VA · 0110009227✔ Licensed in PA · OA005119✔ Licensed in PA · MA061310
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11351 RANDOM HILLS RD STE 200, Fairfax, VA 22030
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Other Names 1

Professional Name (2)Tinuke Aderemi-ibitola Pa-c

Secondary Practice Location 1

Location 17921 Jones Branch Dr Ste 230Mc Lean, VA 22102-3333 · Phone (443) 351-3376

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adetokunbo Atinuke Aderemi-ibitola Pa-c 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 ID6204262272
PECOS Enrollment IDI20230424000928
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
105 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
28 services25 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
17 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

ANNE ARUNDEL DERMATOLOGY, PA
Dermatology
11351 RANDOM HILLS RD STE 200
FAIRFAX, VA 22030
Fairfax City (443) 351-3376
JAMES JOSEPH JONES JR. MD
Dermatology
11351 RANDOM HILLS RD STE 200
FAIRFAX, VA 22030
Fairfax City (443) 351-3376

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 Adetokunbo Aderemi-ibitola's NPI number?

The NPI number for Adetokunbo Aderemi-ibitola is 1932749553. It was assigned to this individual provider in the NPPES registry on January 11, 2020. The provider is also known as Tinuke Aderemi-Ibitola Pa-C.

Where is Adetokunbo Aderemi-ibitola located?

Adetokunbo Aderemi-ibitola practices at 11351 Random Hills Rd Ste 200, Fairfax, VA 22030. The listed phone number is (443) 351-3376.

What is Adetokunbo Aderemi-ibitola's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Adetokunbo Aderemi-ibitola enrolled in Medicare?

Yes. Adetokunbo Aderemi-ibitola 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.

When was this NPI record last updated?

The NPPES record for Adetokunbo Aderemi-ibitola was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.