Individual provider Active NPI

Henry Olugbenga Adekola, MD

  • Maternal & Fetal Medicine Physician
  • Springfield, IL
National Provider Identifier
1104196641
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
036-143019 Issued in IL
Practice address
400 N 9TH St FL 3
Springfield, IL 62702-5310
Phone
(217) 545-8000
Fax
(217) 757-6388
NPI assigned
Dec 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 036-143019 IL Primary
Maternal & Fetal Medicine Physician 207VM0101X 0108320A IN
Obstetrics & Gynecology Physician 207V00000X 207V00000X NY
Obstetrics & Gynecology Physician 207V00000X 036-143019 IL

Addresses

Primary practice location

400 N 9TH St FL 3
Springfield, IL 62702-5310

Mailing address

PO Box 19639
Springfield, IL 62794-9639
Phone (217) 545-8000

Other practice location 1

320 E Central Ave
Decatur, IL 62521-4665
Phone (217) 545-8000

Other practice location 2

612 N 11th St
Quincy, IL 62301-2662
Phone (217) 545-8000

Other practice location 3

1215 Franciscan Dr
Litchfield, IL 62056-1778
Phone (217) 545-8000

Other names 1

  • Dr. Henry Olugbenga Adekola Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KY, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171018000043 IL Practitioner - Obstetrics/Gynecology 0547574600 Reassigns benefits to 2 organizations
I20200306002026 KY Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 0547574600 Reassigns benefits to 1 organization
I20220721001820 IN Practitioner - Obstetrics/Gynecology 0547574600 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Pediatric Subspecialties 37 clinicians
St Marys Medical Group LLC 230 clinicians
Siu Physicians and Surgeons Inc 316 clinicians

Practice addresses (Care Compare)

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-3617

3700 Washington Ave
Suite 1100
Evansville, IN 47714-0541
Phone (812) 485-1894

415 N 9TH St
Springfield, IL 62702-5303
Phone (217) 545-5817

8081 Township Line Rd
Suite 203
Indianapolis, IN 46260-2189
Phone (317) 338-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-143019ILMDObstetrics & Gynecology Physician
207V00000XNYMDObstetrics & Gynecology Physician
0108320AINMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Medical Group, LLC Obstetrics & Gynecology CurrentSince Sep 16, 2022 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Sep 1, 2024 Accepting new patients
Owensboro Health Medical Group, Inc. CurrentSince Dec 14, 2019 Accepting new patients
St Vincent Pediatric Subspecialties CurrentSince Sep 1, 2024 Accepting new patients
St Mary'S Medical Group, LLC Obstetrics & Gynecology CurrentSince Sep 16, 2022 Accepting new patients
St Vincent Pediatric Subspecialties Maternal & Fetal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Aug 28, 2017 Accepting new patients
Board of Trustees of Southern Illinois University Current Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Obstetrics & Gynecology CurrentSince Sep 1, 2024 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Aug 28, 2017 Accepting new patients
St Francis Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Jun 3, 2023 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Dec 14, 2019 Accepting new patients

Locations

320 E Central Ave
Decatur, IL 62521
Phone (217) 877-4694

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

612 N 11th St
Quincy, IL 62301
Phone (217) 224-9484

400 N 9th St
Fl 3
Springfield, IL 62702

415 N 9th St
Springfield, IL 62702
Phone (217) 545-5117

415 N 9th St
#6W30
Springfield, IL 62702

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

13420 N Meridian St
Ste 200
Carmel, IN 46032
Phone (317) 415-7626

13420 N Meridian St
Ste 300
Carmel, IN 46032
Phone (317) 582-7248

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

3700 Washington Ave
Ste 1100
Evansville, IN 47714
Phone (812) 469-8170

3700 Washington Ave
#1100
Evansville, IN 47714
Phone (812) 471-0045

8081 Township Line Rd
Ste 203
Indianapolis, IN 46260
Phone (317) 415-7921

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

8414 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-1600

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

Interoperability endpoints

  • Direct secure messaging: henry.adekola.1@8478.direct.athenahealth.com
  • Direct secure messaging: henry.adekola.1@7598.direct.athenahealth.com
  • Direct secure messaging: henry.adekola.2@7598.direct.athenahealth.com
  • Direct secure messaging: henryadekola@siusm.allscriptsdirect.net

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1104196641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19639",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949639",
            "telephone_number": "217-545-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 9TH ST FL 3",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025310",
            "telephone_number": "217-545-8000",
            "fax_number": "217-757-6388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E Central Ave",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625214665",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-3952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 N 11th St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623012662",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Franciscan Dr",
            "address_purpose": "LOCATION",
            "city": "Litchfield",
            "state": "IL",
            "postal_code": "620561778",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEKOLA",
        "first_name": "HENRY",
        "middle_name": "OLUGBENGA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-30",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IL",
            "license": "036-143019",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IN",
            "license": "0108320A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "207V00000X",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-143019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HENRY",
            "last_name": "ADEKOLA",
            "middle_name": "OLUGBENGA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.