Individual provider Active NPI

Ayomide Adeleke, MD, MS

  • Student in an Organized Health Care Education/Training Program
  • Malden, MA
National Provider Identifier
1023811700
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
40 Eastern Ave # 206
Malden, MA 02148-5030
Phone
(781) 417-3891
NPI assigned
Mar 29, 2025
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

40 Eastern Ave # 206
Malden, MA 02148-5030

Mailing address

40 Eastern Ave # 206
Malden, MA 02148-5030

Other names 1

  • Semmy Adeleke Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617000855 IL Order and Referring Only - PsychiatryPractitioner - Psychiatry 0840701819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

Interoperability endpoints

  • Direct secure messaging: aadeleke147986@uihealth.direct-ci.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1023811700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 EASTERN AVE # 206",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 EASTERN AVE # 206",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485030",
            "telephone_number": "781-417-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELEKE",
        "first_name": "AYOMIDE",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEMMY",
            "last_name": "ADELEKE",
            "credential": "MD, MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Malden, MA

Sources for this page

Verify at the official NPI Registry.