Individual provider Active NPI

Kevin Adeleke, M.D.

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1245465384
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
80035 Issued in GA
Practice address
800 Poly PL
Brooklyn, NY 11209-7104
Phone
(718) 836-6600
NPI assigned
May 19, 2009
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 265544 NY
Emergency Medicine Physician 207P00000X 80035 GA Primary

Addresses

Primary practice location

800 Poly PL
Brooklyn, NY 11209-7104

Mailing address

416 Ocean Ave
Apt. #14
Brooklyn, NY 11226-1724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20180814004338 GA Practitioner - Emergency Medicine 4880819333 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walker Lake Emergency Group PCGroup PAC ID 0840531919, 31 clinicians

Practice addresses (Care Compare)

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80035GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Physician Services, LLC Emergency Medicine CurrentSince Jun 2, 2018 Accepting new patients
Peach State Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Fort Oglethorpe Emergency Physicians Group LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Etowah Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 15, 2020 Accepting new patients
Emergency Group of Columbus, LLC Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Walker Lake Emergency Group, PC Emergency Medicine CurrentSince Nov 29, 2020 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Apr 4, 2024 Accepting new patients
Lagrange Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Sep 1, 2019 Accepting new patients
Etowah Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 15, 2020 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Sep 1, 2019 Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

2360 Rockmart Hwy
Ste 320
Cedartown, GA 30125

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: kadeleke7927@nychhc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1245465384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 OCEAN AVE",
            "address_2": "APT. #14",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 POLY PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097104",
            "telephone_number": "718-836-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELEKE",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "265544",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "80035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.