Active NPI
Adebola Adegbile, CNP
- Family Nurse Practitioner
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0028616
- Practice address
- 3812 Wales Dr
Dayton, OH 45405-1849 - Phone
- (614) 869-8630
- NPI assigned
- May 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0028616 | OH | |
| Family Nurse Practitioner | 363LF0000X | 0028616 | OH | Primary |
| Registered Nurse | 163W00000X | 413068 | OH |
Addresses
Primary practice location
3812 Wales Dr
Dayton, OH 45405-1849
Mailing address
3812 Wales Dr
Dayton, OH 45405-1849
Phone (614) 869-3830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2351 Stanley Ave
Dayton, OH 45404-1201
Phone (937) 228-0990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 413068 | OH | MD | Registered Nurse |
| 0028616 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illumia Health LLC | Current | Accepting new patients | |
| CG Medical Associates Inc | Current | Accepting new patients | |
| Illumia Health LLC | Current | Accepting new patients | |
| PA Post Acute Services PC | Current | Accepting new patients |
Locations
655 Brawley School Rd
Ste 200
Mooresville, NC 28117
4040 Embassy Pkwy
Ste 410
Akron, OH 44333
Phone (330) 576-5405
7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100
4301 Clime Rd N
Columbus, OH 43228
Phone (614) 276-4400
1390 King Tree Dr
Dayton, OH 45405
Phone (718) 280-5436
1492 S Erie Hwy
Hamilton, OH 45011
Phone (513) 765-6890
8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547
Organizations & group practices 5
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.
-
dba Charles Drew Health Center
- Primary Care Clinic/Center
- Dayton, OH
- NPI 1013197003
-
- Urgent Care Clinic/Center
- Cincinnati, OH
- NPI 1982903951
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Akron, OH
- NPI 1740024397
-
- General Practice Physician
- Masury, OH
- NPI 1255057063
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- White Bear Lake, MN
- NPI 1972316289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1699153106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 WALES DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454051849",
"telephone_number": "614-869-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3812 WALES DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454051849",
"telephone_number": "614-869-8630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEGBILE",
"first_name": "ADEBOLA",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-16",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "0028616",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "0028616",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "413068",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.