Individual provider Active NPI

Benjamin O Adebayo, M.D.

  • Obstetrics & Gynecology Physician
  • Rochester, IN
National Provider Identifier
1437415460
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01078102 Issued in IN
Practice address
1400 East 9TH S
Rochester, IN 46975
Phone
(260) 255-5105
NPI assigned
Apr 4, 2012
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170705001492 IN Practitioner - Obstetrics/Gynecology 1052615184 Reassigns benefits to 4 organizations

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
Marion General HospitalGroup PAC ID 9133023625, 115 clinicians

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

LicenseStateTypeSpecialty
01078102INMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group, Inc. Current Accepting new patients
Woodlawn Hospital CurrentSince Oct 2, 2020 Accepting new patients
Beacon Medical Group Inc CurrentSince Sep 4, 2021 Accepting new patients
Marion General Hospital CurrentSince May 19, 2023 Accepting new patients
Beacon Medical Group, Inc. Obstetrics & Gynecology CurrentSince Sep 4, 2021 Accepting new patients
Woodlawn Hospital Current Accepting new patients
Woodlawn Hospital CurrentSince Oct 2, 2020 Accepting new patients
Marion General Hospital CurrentSince May 19, 2023 Accepting new patients
Kosciusko Medical Group LLC CurrentSince Sep 9, 2024 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.