OLUYEMI SAMSON ADEAGBO
NPI 1962371740
Nurse Practitioner - Psychiatric/Mental Health in Downers Grove, IL

Active since October 31, 2025PECOS EnrolledAccepts Medicare Assignment
1319 BUTTERFIELD RD STE 500, DOWNERS GROVE, IL 60515(414) 690-0069 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Oluyemi Samson Adeagbo NPPES

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

OLUYEMI SAMSON ADEAGBO (NPI 1962371740) is an individual psychiatric/mental health provider in Downers Grove, Illinois, licensed in Illinois (209.032399) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1962371740
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameOLUYEMI SAMSON ADEAGBO
Location Address1319 BUTTERFIELD RD STE 500Downers Grove, IL 60515-5621
Mailing Address9345 Kilrea DrOrland Park, IL 60462-1131 · (773) 681-2487
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
NPI 1962371740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 209.032399
1319 BUTTERFIELD RD STE 500, Downers Grove, IL 60515

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

Oluyemi Samson Adeagbo 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 ID5799266722
PECOS Enrollment IDI20260226003233
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 2

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

Counselor (Mental Health)
1319 BUTTERFIELD RD STE 500
DOWNERS GROVE, IL 60515
Counselor (Professional)
1319 BUTTERFIELD RD STE 500
DOWNERS GROVE, IL 60515

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 Oluyemi Adeagbo's NPI number?

The NPI number for Oluyemi Adeagbo is 1962371740. It was assigned to this individual provider in the NPPES registry on October 31, 2025.

Where is Oluyemi Adeagbo located?

Oluyemi Adeagbo practices at 1319 Butterfield Rd Ste 500, Downers Grove, IL 60515. The listed phone number is (414) 690-0069.

What is Oluyemi Adeagbo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Oluyemi Adeagbo enrolled in Medicare?

Yes. Oluyemi Adeagbo 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 Oluyemi Adeagbo was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.