Adekoyejo B Adenuga, M.D.
Individual provider Active NPI Pediatrics Physician · Adrian, MI
NPI 1003066440 · NPPES record last updated Sep 23, 2008
Key facts
- NPI
- 1003066440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 4301068655 (MI)
- Practice address
- 901 Kimole LN
Suite B2
Adrian, MI 49221-1491 - Phone
- (517) 265-1981
- Fax
- (517) 263-1001
- NPI assigned
- Sep 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuga Pediatrics Lenawee, PLLC | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301068655 | MI | Yes |
Addresses
Primary practice location
901 Kimole LN
Suite B2
Adrian, MI 49221-1491
Mailing address
901 Kimole LN
Suite B2
Adrian, MI 49221-1491
Phone (517) 265-1981
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101149 | Other | MI | GREAT LAKES HEALTH PLAN |
| 6862713 | Other | MI | CIGNA |
| 03774 | Other | MI | PARAMOUNT HEALTHCARE |
| 5697 | Other | MI | HEALTH PLAN OF MICHIGAN |
| 7000339381 | Other | MI | PRIORITY HEALTH CARE |
| 0461056 | Other | MI | BCBS |
| 4843556 | Medicaid | MI |
Other providers in Adrian, MI
- Erin Elizabeth Abbott
- Trisha Lynn Ables-Rosas
- Jennifer Abraham
- Acpc PLLC
- Megan Adams
- Adrian Bay Operating LLC
- Adrian Chiropractic Center, P.C.
- Adrian Chiropractic PC
- Adrian Discount Drugs Inc
- Adrian Dominican Sisters
All providers in Adrian, MI · Pediatrics Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.