Adenike Adisa

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD485568 Issued in PA

Practice address

116 S George St
York, PA 17401-1474

Phone

(717) 845-8617

NPI assigned

Dec 29, 2021

Last updated

Dec 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Interoperability endpoints

• Direct secure messaging: adenike.karunwi.1@7492.direct.athenahealth.com

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.

• Family First Health Corporation

  dba Family First Health - George Street Center

  • Federally Qualified Health Center (FQHC)
  • York, PA
  • NPI 1881639904
  Medicare reassignment NPD
• Family First Health Corporation

  • Community/Retail Pharmacy
  • York, PA
  • NPI 1699573758
  NPD
• Family First Health Corporation

  dba Family First Health - Columbia Center

  • Federally Qualified Health Center (FQHC)
  • Columbia, PA
  • NPI 1285188466
  NPD (past)
• Family First Health Corporation

  dba Family First Health - William Penn Center

  • Federally Qualified Health Center (FQHC)
  • York, PA
  • NPI 1609621556
  NPD (past)

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1760142988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474",
            "telephone_number": "717-845-8617",
            "fax_number": "717-854-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474",
            "telephone_number": "717-845-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADISA",
        "first_name": "ADENIKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD485568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Adams, CRNA
• Van D Adams, M.D.
• Basilio Nii Ayitey Addo, M.D
• Addus Healthcare, Inc (Addus HomeCare)
• Ayotemi Adewale
• Advanced Eye Specialists, LLC
• Advanced Vein and Laser Center,Inc.
• Advantage Physical Therapy Associates, LLC (Advantage Physical Therapy)
• Elizabeth Adwa
• Jonathan Adzema

• Pediatrics Physician in York, PA
• Providers in York, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.