Individual provider Active NPI

Adeleke E Badejo, M.D., FACS

  • Neurological Surgery Physician
  • Kearney, NE
National Provider Identifier
1063452845
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
19006 Issued in NE
Practice address
3219 Central Ave Ste 200
Kearney, NE 68847-2958
Phone
(308) 865-2370
Fax
(308) 865-2843
NPI assigned
Jun 8, 2006
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 19006 NE Primary

Addresses

Primary practice location

3219 Central Ave Ste 200
Kearney, NE 68847-2958

Mailing address

3219 Central Ave Ste 200
Kearney, NE 68847-2958
Phone (308) 865-2370

Other identifiers 6

IdentifierTypeStateIssuer
100143550CMedicaidKS
140007700OtherNERAILROAD MEDICARE
47084506100MedicaidNE
100143550BMedicaidKS
102023OtherKSBLUE CROSS & BLUE SHIELD
35675OtherNEBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20101012001354 NE Practitioner - Neurosurgery 2769460625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

3219 Central Ave
Suite 200
Kearney, NE 68847-2958
Phone (308) 865-2370

8207 Northwoods Dr
Suite 100
Lincoln, NE 68505-2093
Phone (402) 484-3440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion28
Laminectomy or laminotomy (partial removal of spine bones)20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19006NEMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC CurrentSince Jun 24, 2022 Accepting new patients
Mid America Neurosurgery Clinic PC Neurological Surgery Past Accepting new patients
Good Samaritan Hospital Past Accepting new patients
Central Nebraska Cardiology Past Accepting new patients

Locations

102 E Holme St
Norton, KS 67654
Phone (785) 628-3231

1150 State St
Phillipsburg, KS 67661
Phone (785) 543-5226

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

3219 Central Ave
#107
Kearney, NE 68847
Phone (308) 236-7850

3219 Central Ave
Ste 103
Kearney, NE 68847
Phone (308) 234-9822

3219 Central Ave
Ste 107
Kearney, NE 68847
Phone (308) 865-2555

3219 Central Ave
Ste 200
Kearney, NE 68847
Phone (308) 865-2263

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1063452845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 CENTRAL AVE STE 200",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472958",
            "telephone_number": "308-865-2370",
            "fax_number": "308-865-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 CENTRAL AVE STE 200",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472958",
            "telephone_number": "308-865-2370",
            "fax_number": "308-865-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADEJO",
        "first_name": "ADELEKE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D., FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NE",
            "license": "19006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100143550C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "140007700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47084506100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100143550B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "102023",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "35675",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.