Active NPI
Ebenezer Olubunmi Adebiyi, MD
- Pediatric Cardiology Physician
- San Antonio, TX
National Provider Identifier
1164058012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- W5224
- Practice address
- 4499 Medical Dr Ste 289
San Antonio, TX 78229-3712 - Phone
- (210) 614-3264
- Fax
- (210) 615-0888
- NPI assigned
- Mar 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | W5224 | TX | Primary |
Addresses
Primary practice location
4499 Medical Dr Ste 289
San Antonio, TX 78229-3712
Mailing address
4499 Medical Dr Ste 289
San Antonio, TX 78229-3712
Phone (210) 614-3264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2000 Health Park Dr
Brentwood, TN 37027-4692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Physician Practices, PLLC | Current | Accepting new patients | |
| Magella Medical Associates Billing, Inc. | Pediatric Cardiology | Current | Accepting new patients |
Locations
4499 Medical Dr
Ste 289
San Antonio, TX 78229
Phone (210) 614-3264
Interoperability endpoints
- https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4
Organizations & group practices 2
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.
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- Round Rock, TX
- NPI 1083631071
Pediatric Cardiology
-
- Surgery Physician
- San Antonio, TX
- NPI 1922252717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1164058012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4499 MEDICAL DR STE 289",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293712",
"telephone_number": "210-614-3264",
"fax_number": "210-615-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4499 MEDICAL DR STE 289",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293712",
"telephone_number": "210-614-3264",
"fax_number": "210-615-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEBIYI",
"first_name": "EBENEZER",
"middle_name": "OLUBUNMI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-22",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "TX",
"license": "W5224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.