Adebayo Bademosi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01066470A Issued in IN

Practice address

7905 Calumet Ave
Munster, IN 46321-2549

Phone

(219) 836-5800

Fax

(219) 836-5030

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Emergency MedicineAlso: Family Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Doc IncGroup PAC ID 0042341471, 2 clinicians

Familydoc Urgent Care LLCGroup PAC ID 0446581417, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abademosi388604@direct.franciscanalliance.org
• Direct secure messaging: abademosi283994@direct.myadvocateaurora.org
• FHIR API: https://api.platform.athenahealth.com/21029/brand/1/csg/1/fhir/r4

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.

• Family Doc, Inc.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1700117942
  Medicare reassignment Care Compare group NPD Authorized official
• Familydoc Urgent Care LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1245880715
  Medicare reassignment Care Compare group NPD Authorized official
• Foundation for Emergency Services

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1467468280
  Medicare reassignment NPD
• Familydok Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1396595518
  NPD Authorized official
• Foundation for Emergency Services

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1992053029
  NPD
• Emergency Room Care Providers, S.C.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1417990219
  NPD (past)
• Family Doctor Medical Center

  • Medical Specialty Clinic/Center
  • Chicago, IL
  • NPI 1336516780
  NPD (past)
• Herbert C Becker Jr. MD, SC

  • Ophthalmology Physician
  • Tinley Park, IL
  • NPI 1275930208
  NPD (past)
• Suburban Emergency Physicians Group, SC

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1245210038
  NPD (past)
• Windy City Emergency Physicians

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1467490979
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Hazel Crest, IL
  • NPI 1467560128
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1558479212
  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1346357076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SIERRA DR STE 400",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437241",
            "telephone_number": "317-528-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212549",
            "telephone_number": "219-836-5800",
            "fax_number": "219-836-5030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7207 S Stony Island Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606492806",
            "country_code": "US",
            "telephone_number": "773-940-1612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADEMOSI",
        "first_name": "ADEBAYO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-101658",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036101658",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01066470A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300010994",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03610165801",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abademosi388604@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7905 Calumet Ave",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463212549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Malak Angel Awad, D.O.
• Axon Modern Health LLC
• Charmaine Azeez, P.T.
• Azra S Sheriff MD PC
• Thomas Bacevich, M.D.
• Aamir Badruddin, M.D.
• Abdulrahman Baig, D.O.
• Patricia Elena Bais, NP
• Carol Ann Bakker, RN
• Katherine Baksh, RD

• Family Medicine Physician in Munster, IN
• Providers in Munster, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; 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.

Verify at the official NPI Registry.