Individual provider Active NPI

Adetoun Adeyemi, M.D

  • Hospitalist Physician
  • Atlanta, GA
National Provider Identifier
1154784809
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
84688 Issued in GA
Practice address
550 Peachtree St NE BLDG 3356a
Atlanta, GA 30308-2247
Phone
(404) 686-6730
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 84688 GA
Hospitalist Physician 208M00000X 036-149007 IL
Internal Medicine Physician 207R00000X 036-149007 IL
Hospitalist Physician 208M00000X 84688 GA Primary

Addresses

Primary practice location

550 Peachtree St NE BLDG 3356a
Atlanta, GA 30308-2247

Mailing address

550 Peachtree St NE BLDG 3356a
Atlanta, GA 30308-2247
Phone (404) 686-6730

Other practice location 1

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 942-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190626002323 IL Practitioner - HospitalistPractitioner - Internal Medicine 6406142520 Reassigns benefits to 5 organizations
I20210223002219 GA Practitioner - HospitalistPractitioner - Internal Medicine 6406142520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians
Methodist Medical Center of IllinoisGroup PAC ID 1355259714, 387 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

221 NE Glen Oak Ave
Suite 514W
Peoria, IL 61636-0001
Phone (309) 672-5733

Hospital & facility affiliations

  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078
  • Carle Health Pekin Hospital Hospital, Pekin, IL, CCN 140120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-149007ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pekin Prohealth Inc Internal Medicine CurrentSince Mar 23, 2020 Accepting new patients
Rush University Medical Group Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Apogee Medical Group Georgia Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Proctor Health Systems CurrentSince Mar 23, 2020 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Mar 23, 2020 Accepting new patients
The Emory Clinic Inc Internal Medicine CurrentSince Mar 27, 2024 Accepting new patients
Rush University Medical Center Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Carle Health Care Incorporated Internal Medicine CurrentSince Dec 30, 2025 Accepting new patients
Proctor Health Systems Internal Medicine CurrentSince Mar 23, 2020 Accepting new patients
Crawford Long Hospital Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

1700 W Van Buren St
Chicago, IL 60612
Phone (312) 563-2875

1700 W Van Buren St
Ste 500
Chicago, IL 60612
Phone (312) 563-2875

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

221 NE Glen Oak Ave
Ste 514W
Peoria, IL 61636
Phone (309) 672-5733

815 Main St
Ste A1
Peoria, IL 61602

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: aadeyemi154441@direct.rush.rush-health.com
  • Direct secure messaging: aadeyemi867943@direct.emory.org

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1154784809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE BLDG 3356A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082247",
            "telephone_number": "404-686-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE BLDG 3356A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082247",
            "telephone_number": "404-686-6730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 W Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606125500",
            "country_code": "US",
            "telephone_number": "312-942-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEYEMI",
        "first_name": "ADETOUN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "84688",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036-149007",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-149007",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "84688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.