Adebukola Adedeji, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

Q0719 Issued in TX

Practice address

11212 State Hwy 151
Suite 370 Plaza 1
San Antonio, TX 78251

Phone

(210) 339-2293

Fax

(210) 545-3661

NPI assigned

May 15, 2009

Last updated

Sep 18, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• General Surgical Associates

  • Specialist
  • San Antonio, TX
  • NPI 1265453252
  Medicare reassignment NPD
• Adedeji Associates PLLC

  • Surgery Physician
  • San Antonio, TX
  • NPI 1740708957
  Authorized official Same address or phone

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1275768566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 STATE HWY 151",
            "address_2": "SUITE 370 PLAZA 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-339-2293",
            "fax_number": "210-545-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HWY 151",
            "address_2": "SUITE 370 PLAZA 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-339-2293",
            "fax_number": "210-545-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEDEJI",
        "first_name": "ADEBUKOLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-15",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q0719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adebisi Bolanle Adebayo
• Beatrice Adetoun Adebayo, RN
• Morayo Fadekemi Adebisi, NP
• Ebenezer Olubunmi Adebiyi, MD
• Adedeji Associates PLLC
• Adesola John Adedeji
• Iseoluwa Adebola Adedeji, BDS, MPH
• Oluwakemi Adedeji
• Anuoluwapo Adediji, MD
• Kelechi I Adejo, COTA

• Surgery Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.