Adegboyega Temitope Adebayo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

203411 Issued in NY

Practice address

40 West I35Th Street
Suite 1D
New York, NY 10037

Phone

(212) 281-6403

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFCHAA/Endpoint/BFCHAA
• FHIR API: https://fhir4.healow.com/fhir/r4/BFCHAA
• FHIR API: https://fhir4.healow.com/fhir/r4/JJBFAD/Endpoint/JJBFAD
• FHIR API: https://fhir4.healow.com/fhir/r4/JJBFAD
• Direct secure messaging: adegboyega.adebayo@atamp.eclinicaldirectplus.com

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.

• A T Adebayo, MD, PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1174794317
  Medicare reassignment NPD Authorized official
• Amth Medical PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1003274937
  Medicare reassignment NPD Authorized official
• Essen Medical Associates, PC

  • Legal Medicine
  • Bronx, NY
  • NPI 1366418709
  Medicare reassignment Care Compare group
• Essen Medical Urgicare, PLLC

  • Urgent Care Clinic/Center
  • Bronx, NY
  • NPI 1841607298
  Medicare reassignment
• Park Avenue Medical Associates, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • White Plains, NY
  • NPI 1730138645
  NPD (past)
• Trustees of Columbia University Dept of Obstetrics and Gynecology

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1154346021
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471737600000",
    "number": "1154429215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WEST I35TH STREET",
            "address_2": "SUITE 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10037",
            "telephone_number": "212-281-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WEST I35TH STREET",
            "address_2": "SUITE 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10037",
            "telephone_number": "212-281-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBAYO",
        "first_name": "ADEGBOYEGA",
        "middle_name": "TEMITOPE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01681492",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jermyn Addy
• Marianine Ade, NURSE PRACTITIONER
• Samantha Ade, LBA, BCBA
• Oyedolapo Adeaga, M.D
• Davis Adeyemi Adebanjo
• Olukayode Adebisi
• Oluwatobi Olufunto Adeboyejo, RN
• Kayla A Adecer
• Funmilola Azeezat Adedeji, NURSE PRACTITIONER
• Tiwalade Oluwatofunmi Adediji

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.