Benjamin A Adewale, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

0101054165 Issued in VA

Practice address

7011 Calamo St
#105
Springfield, VA 22150

Phone

(703) 569-8028

Fax

(703) 569-8085

NPI assigned

Jul 15, 2006

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Benjamin Adewale Professional name

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Specialty

Psychiatry

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Benjamin a. Adewale MD PC

  dba Riverside Mental and Medical Clinic

  • Mental Health Counselor
  • Alexandria, VA
  • NPI 1992073084

  DC

  Medicare reassignment NPD Authorized official
• Psi Services III, Inc.

  dba Psi Family Services, Inc.

  • Adult Mental Health Clinic/Center
  • Washington, DC
  • NPI 1942578133
  Medicare reassignment NPD
• Benjamin Adewale MD PC

  dba Riverside Mental Health LLC

  • Neurology Physician
  • Springfield, VA
  • NPI 1821015264
  Medicare reassignment
• All Thats Therapeutic Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oxon Hill, MD
  • NPI 1548270663

  DC

  Medicare reassignment
• Maryland Health Alliance, Inc.

  • Community/Behavioral Health Agency
  • Greenbelt, MD
  • NPI 1285053538

  DC

  Medicare reassignment
• Evolution Therapeutic Services

  • Social Worker
  • Brandywine, MD
  • NPI 1457085904
  NPD
• T Med Behavioral Inc

  • Clinical Psychologist
  • Fairfax, VA
  • NPI 1497719272
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1790702132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8057",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223068057",
            "telephone_number": "703-569-8028",
            "fax_number": "703-569-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 CALAMO ST",
            "address_2": "#105",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22150",
            "telephone_number": "703-569-8028",
            "fax_number": "703-569-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEWALE",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DC",
            "license": "MD22004",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D50874",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101054165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2033020-00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4401280",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7107820",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENJAMIN",
            "last_name": "ADEWALE",
            "credential": "MD PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Neurology Physician in Springfield, VA
• Providers in Springfield, VA by specialty
• Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.

Verify at the official NPI Registry.