ADE ADETUNJI
NPI 1962596031
Podiatrist - Foot & Ankle Surgery in Upper Marlboro, MD

Active since October 03, 2006
1450 MERCANTILE LN STE 151, UPPER MARLBORO, MD 20774(301) 386-5453(301) 386-5396 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 4, 2024, May 10, 2017 (2 updates tracked since 2017).

About Ade Adetunji NPPES

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

ADE ADETUNJI (NPI 1962596031) is a healthcare organization registered as a foot & ankle surgery in Upper Marlboro, Maryland and active in the NPI registry since October 2006. The organization lists Ademuyiwa Adekola Adetunji, President, as its authorized official.

NPPES Registry Identity

NPI1962596031
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameLARGO FOOT & ANKLE HEALTH CENTER AND AMBULATORY SURGICAL CENTER,INC'
Location Address1450 MERCANTILE LN STE 151Upper Marlboro, MD 20774-5386
Mailing AddressPo Box 265Fulton, MD 20759-0265 · (301) 386-5453 · Fax (301) 386-5396
Fax(301) 386-5396
Organization SubpartNo
Authorized OfficialAdemuyiwa Adekola AdetunjiPresident · (301) 386-5453
Enumeration DateOctober 3, 2006
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
NPI 1962596031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in MD · 01264
1450 MERCANTILE LN STE 151, Upper Marlboro, MD 20774

Other Names 1

Doing Business AsAde Adetunji

Other Identifiers 2

Medicaid035063500DC
Medicaid319906101MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962596031, enumerated as an "organization" on October 03, 2006.

The provider is located at 1450 MERCANTILE LN STE 151 UPPER MARLBORO, MD 20774 and the phone number is (301) 386-5453.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas City, Medica,. Please consult your insurance carrier or call the provider to verify.