Individual provider Active NPI

Adedotun Adebamiro, M.D.

  • Hospitalist Physician
  • Doylestown, PA
National Provider Identifier
1801044649
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD56895 Issued in PA
Practice address
595 W State St
Doylestown, PA 18901-2554
Phone
(215) 345-2885
Fax
(215) 345-2552
NPI assigned
Sep 5, 2008
Last updated
Jun 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD456895 PA
Hospitalist Physician 208M00000X MD56895 PA Primary

Addresses

Primary practice location

595 W State St
Doylestown, PA 18901-2554

Mailing address

PO Box 829641
Philadelphia, PA 19182-9641
Phone (267) 370-5296

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160901001700 PA Practitioner - Internal MedicinePractitioner - Hospitalist 8426287939 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Via AffiliatesGroup PAC ID 1759295512, 180 clinicians
Clinical Specialty AssociatesGroup PAC ID 5799295853, 165 clinicians

Practice addresses (Care Compare)

595 W State St
Doylestown Health Hospitalists
Doylestown, PA 18901-2554
Phone (215) 345-2885

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD56895PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates Single Specialty Current Accepting new patients
Via Affiliates Single Specialty CurrentSince Jun 1, 2022 Accepting new patients
Clinical Specialty Associates CurrentSince Nov 1, 2025 Accepting new patients
Einstein Practice Plan Inc Single Specialty CurrentSince Jul 10, 2016 Accepting new patients
Via Affiliates Single Specialty CurrentSince Jun 1, 2022 Accepting new patients
Einstein Practice Plan Inc Single Specialty Current Accepting new patients
Einstein Practice Plan Inc Single Specialty CurrentSince Jul 10, 2016 Accepting new patients
Clinical Specialty Associates CurrentSince Nov 1, 2025 Accepting new patients

Locations

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000

5501 Old York Rd
#B
Philadelphia, PA 19141
Phone (215) 456-8220

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Ste 202
Philadelphia, PA 19141
Phone (215) 254-2630

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Organizations & group practices 10

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 3

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": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1801044649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191829641",
            "telephone_number": "267-370-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W STATE ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012554",
            "telephone_number": "215-345-2885",
            "fax_number": "215-345-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBAMIRO",
        "first_name": "ADEDOTUN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-05",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD456895",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD56895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.