Olajumoke Adubifa, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

036-098407 Issued in IL

Practice address

100 E Jeffery St
Kankakee, IL 60901-5018

Phone

(815) 939-8661

NPI assigned

Nov 29, 2006

Last updated

Feb 24, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Excellent Medical Associates, P.C.

  • General Practice Physician
  • Orland Park, IL
  • NPI 1215223623
  Medicare reassignment NPD
• Illinois Department of Human Services

  • Intellectual Disabilities Intermediate Care Facility
  • Centralia, IL
  • NPI 1003960394
  Medicare reassignment NPD
• Alqaim Medical Associates Inc

  • General Practice Physician
  • Orland Park, IL
  • NPI 1932961240
  NPD
• Illinois Department of Human Services

  • Intellectual Disabilities Intermediate Care Facility
  • Kankakee, IL
  • NPI 1821136821
  NPD
• Illinois Department of Human Services

  dba John J Madden Mental Health

  • Psychiatric Hospital
  • Hines, IL
  • NPI 1902903487
  NPD
• Hope Health Services Inc.

  dba Midwest Behavioral

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1376589853
  NPD (past)
• Kankakee Urgent Care

  • Family Medicine Physician
  • Kankakee, IL
  • NPI 1841519691
  NPD (past)
• Presence Service Corporation

  dba Presence Medical Group

  • Family Medicine Physician
  • Bolingbrook, IL
  • NPI 1831204536
  NPD (past)
• Specialty Physicians of Illinois, LLC

  • Urgent Care Clinic/Center
  • Frankfort, IL
  • NPI 1962024612
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1598832875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284215",
            "telephone_number": "815-939-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E JEFFERY ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609015018",
            "telephone_number": "815-939-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADUBIFA",
        "first_name": "OLAJUMOKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036-098407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC GROUP",
            "identifier": "4673170001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00444366/CK6882",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micaela Adams-Carr, MSN, RN
• James Russell Adams, D.C.
• Addus Healthcare Inc (Addus HomeCare)
• Lori Ann Ader-Steinhauser, M.S., CCC-A
• Adonia Health System, Corp
• Advanced Cardiovascular Services (Dr. Mario Massullo)
• Affiliated Cancer Specialists PC
• Yasmeen Ahmad
• Olatunji R Akintilo, M.D.
• Omolara Akintilo, PHARMD

• Geriatric Medicine (Family Medicine) Physician in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Geriatric Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.