Active NPI
Benjamin O Adebayo, M.D.
- Obstetrics & Gynecology Physician
- Rochester, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01078102
- Practice address
- 1400 East 9TH S
Rochester, IN 46975 - Phone
- (260) 255-5105
- NPI assigned
- Apr 4, 2012
- Last updated
- Sep 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | 01078102 | IN | Primary |
Addresses
Primary practice location
1400 East 9TH S
Rochester, IN 46975
Mailing address
105 Osprey CT
Huntertown, IN 46748-9293
Other practice location 1
3000 Arlington Ave
Graduate Medical Education, MS 1050
Toledo, OH 43614-2595
Phone (419) 383-4006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Toledo College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1391 N Baldwin Ave
Marion, IN 46952-1913
Phone (765) 660-7900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01078102 | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Woodlawn Hospital | Current | Accepting new patients | |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Marion General Hospital | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Woodlawn Hospital | Current | Accepting new patients | |
| Woodlawn Hospital | Current | Accepting new patients | |
| Marion General Hospital | Current | Accepting new patients | |
| Kosciusko Medical Group LLC | Current | Accepting new patients |
Locations
530 N Michigan St
Argos, IN 46501
Phone (574) 892-5131
6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514
4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840
911 Marion Health Dr
Gas City, IN 46933
Phone (765) 660-7000
1389 N Baldwin Ave
Marion, IN 46952
Phone (765) 664-2671
1391 N Baldwin Ave
Marion, IN 46952
Phone (765) 660-7900
1399 N Baldwin Ave
Marion, IN 46952
Phone (765) 651-2620
1419 W Bella Dr
Marion, IN 46953
Phone (765) 660-7580
330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020
615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000
714 N Michigan St
South Bend, IN 46601
Phone (574) 647-7477
1205 Provident Dr
#A
Warsaw, IN 46580
Phone (574) 269-8383
1210 Provident Dr
Warsaw, IN 46580
Phone (219) 268-4300
1210 Provident Dr
Ste B
Warsaw, IN 46580
Phone (574) 268-4300
Organizations & group practices 9
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.
-
dba Physicians' Billing of MGH
- Family Medicine Physician
- Marion, IN
- NPI 1528099041
-
dba Beacon Medical Group Schwartz - Wiekamp
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Family Medicine Physician
- Warsaw, IN
- NPI 1932349594
-
dba Beacon Medical Group Anesthesia Elkhart
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
dba Beacon Medical Group E. Blair Warner
- Family Medicine Physician
- South Bend, IN
- NPI 1609828946
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- Emergency Medicine Physician
- Rochester, IN
- NPI 1740496074
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
-
dba Marion General Hospital Nutritional Support
- Nutrition Support Registered Nurse
- Marion, IN
- NPI 1861578072
Hospital
-
dba Marion General Hospital Ambulance Service
- Land Ambulance
- Marion, IN
- NPI 1932295466
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1437415460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 OSPREY CT",
"city": "HUNTERTOWN",
"state": "IN",
"postal_code": "467489293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 EAST 9TH S",
"city": "ROCHESTER",
"state": "IN",
"postal_code": "46975",
"telephone_number": "260-255-5105"
}
],
"practiceLocations": [
{
"address_1": "3000 Arlington Ave",
"address_2": "Graduate Medical Education, MS 1050",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436142595",
"country_code": "US",
"telephone_number": "419-383-4006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADEBAYO",
"first_name": "BENJAMIN",
"middle_name": "O",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01078102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.