Constantin Cyrille Kolade Adelakoun, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Carmel, NY
NPI 1134823834 · NPPES record last updated Apr 14, 2026
Key facts
- NPI
- 1134823834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 670 Stoneleigh Ave
Carmel, NY 10512-3997 - Phone
- (845) 790-1321
- NPI assigned
- Mar 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1000 Silver St
Middletown, CT 06457-3911
11 Scuppo Rd
Unit 401
Danbury, CT 06811-5287
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260605002598 | CT | Practitioner - General Practice | 9739650193 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83049 | CT | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 83049 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
670 Stoneleigh Ave
Carmel, NY 10512-3997
Mailing address
670 Stoneleigh Ave
Carmel, NY 10512-3997
Phone (952) 261-8503
Other providers in Carmel, NY
- 441Chiropractic PLLC
- Dana Abossi
- Advanced Womens Medical
- Advocates for the Disabled Inc.
- Tahmina Ahmed
- Linda Albano
- Erin Alexander
All providers in Carmel, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.