NPIMap

Individual provider Active NPI

Adekunle Oladega Ajisebutu, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Des Moines, IA
National Provider Identifier
1235518507
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MD-47364 Issued in IA
Practice address
1350 Des Moines St Ste 90
Des Moines, IA 50309-5507
Phone
(515) 358-9600
Fax
(515) 358-9650
NPI assigned
May 20, 2015
Reactivated
Mar 7, 2016
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD-47364 IA Primary

Addresses

Primary practice location

1350 Des Moines St Ste 90
Des Moines, IA 50309-5507

Mailing address

PO Box 674721
Dallas, TX 75267-4721
Phone (515) 643-2519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008001772 IA Practitioner - Sleep MedicinePractitioner - Family Practice 4981947686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

1350 Des Moines St
Des Moines, IA 50309-5507

1449 NW 128TH St
100 Mercyone Clive Sleep Medicine Clinic
Clive, IA 50325-7425
Phone (515) 358-9600

300 N 4TH Ave E
Newton, IA 50208-3155

300 N 4TH Ave E D
Newton, IA 50208-3155

330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290

800 E 1St St
Ankeny, IA 50021-2077

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. Sleep Medicine CurrentSince Sep 8, 2020 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Sep 8, 2020 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Jun 3, 2024 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Jun 3, 2024 Accepting new patients
Sjhmc Physician Services PastSince Jan 1, 2004 Accepting new patients
Dignity Health Past Accepting new patients

Locations

1350 Des Moines St
Ste 100
Des Moines, IA 50309
Phone (515) 643-0400

1449 NW 128th St
Ste 100
Des Moines, IA 50325
Phone (515) 224-3948

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

300 N 4th Ave E
Ste 222
Newton, IA 50208
Phone (515) 358-0011

Interoperability endpoints

  • Direct secure messaging: aajisebutu3938150@direct.trinity-health.org

Organizations & group practices 7

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

Hospital & facility affiliations 5

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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1235518507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674721",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674721",
            "telephone_number": "515-643-2519",
            "fax_number": "515-358-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 DES MOINES ST STE 90",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503095507",
            "telephone_number": "515-358-9600",
            "fax_number": "515-358-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJISEBUTU",
        "first_name": "ADEKUNLE",
        "middle_name": "OLADEGA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-20",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "deactivation_date": "2016-01-13",
        "reactivation_date": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IA",
            "license": "MD-47364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.