NPIMap

Individual provider Active NPI

Feyisitan Adekunle Adebajo, MD

  • Family Medicine Physician
  • Du Bois, PA
National Provider Identifier
1780809350
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD419210 Issued in PA
Practice address
145 Hospital Ave
Suite 205
Du Bois, PA 15801-1462
Phone
(814) 375-6560
Fax
(814) 372-2848
NPI assigned
Apr 17, 2007
Last updated
Mar 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD419210 PA Primary

Addresses

Primary practice location

145 Hospital Ave
Suite 205
Du Bois, PA 15801-1462

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-0373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070514000220 PA Practitioner - Family PracticePractitioner - Emergency Medicine 9537266382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

95 S Park St
Mount Union, PA 17066-1334
Phone (814) 542-8623

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Mar 17, 2014 Accepting new patients
Broad Top Area Medical Center Inc CurrentSince Feb 2, 2026 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 17, 2014 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
East Liberty Family Health Care Center, Inc. Past Accepting new patients
Broad Top Area Medical Center Inc Past Accepting new patients
J C Blair Memorial Hospital Past Accepting new patients

Locations

4133 Medical Center Dr
Broad Top, PA 16621
Phone (814) 506-8463

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

401 E Murphy Ave
#H
Connellsville, PA 15425

95 S Park St
Mount Union, PA 17066
Phone (814) 542-8627

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

626 Water St
Ste 1
Orbisonia, PA 17243
Phone (814) 447-5556

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167

Organizations & group practices 7

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 12

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1780809350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-371-0373",
            "fax_number": "814-377-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE",
            "address_2": "SUITE 205",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011462",
            "telephone_number": "814-375-6560",
            "fax_number": "814-372-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBAJO",
        "first_name": "FEYISITAN",
        "middle_name": "ADEKUNLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD419210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.