NPIMap

Individual provider Active NPI

Abimbola Adike

  • Gastroenterology Physician
  • Poulsbo, WA
National Provider Identifier
1821357112
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD60817922 Issued in WA
Practice address
22180 Olympic College Way NW Ste 204
Poulsbo, WA 98370-6664
Phone
(360) 447-8951
NPI assigned
May 8, 2012
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD60817922 WA Primary

Addresses

Primary practice location

22180 Olympic College Way NW Ste 204
Poulsbo, WA 98370-6664

Mailing address

22180 Olympic College Way NW Ste 204
Poulsbo, WA 98370-6664
Phone (360) 447-8951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20181025000668 WA Practitioner - Gastroenterology 2466767140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Connecticut School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kitsap Gastro and Liver Clinic PLLCGroup PAC ID 4082009006, 2 clinicians

Practice addresses (Care Compare)

22180 Olympic College Way NW
Suite 204
Poulsbo, WA 98370-6664
Phone (360) 447-8951

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.56 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy86
Upper gastrointestinal (GI) endoscopy for acid reflux157

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60817922WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kitsap Gastro and Liver Clinic, PLLC Gastroenterology CurrentSince Jan 28, 2022 Accepting new patients
Digestive Health Consultants, PLLC Gastroenterology CurrentSince Oct 1, 2018 Accepting new patients
Sheila C Lally, DO, PS CurrentSince Mar 6, 2022 Accepting new patients

Locations

22180 Olympic College Way NW
Ste 204
Poulsbo, WA 98370
Phone (360) 447-8951

3261 NW Mount Vintage Way
Ste 221
Silverdale, WA 98383
Phone (360) 479-1952

Organizations & group practices 3

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 6

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1821357112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22180 OLYMPIC COLLEGE WAY NW STE 204",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706664",
            "telephone_number": "360-447-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22180 OLYMPIC COLLEGE WAY NW STE 204",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706664",
            "telephone_number": "360-447-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIKE",
        "first_name": "ABIMBOLA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD60817922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

Verify at the official NPI Registry.