Individual provider Active NPI

Adedayo Adetola, M.D.

  • Internal Medicine Physician
  • New Haven, CT
National Provider Identifier
1861498685
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036356 Issued in CT
Practice address
1453 Whalley Ave
New Haven, CT 06515-1153
Phone
(203) 389-4111
Fax
(203) 889-4953
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HHC Physician Services PLLC 140 clinicians

Practice addresses (Care Compare)

1453 Whalley Ave
New Haven, CT 06515-1153
Phone (203) 389-4111

Hospital & facility affiliations

  • Masters in Home Care, LLC Home health agency, Rocky Hill, CT, CCN 077264
  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Yale New Haven Health - Health at Home Home health agency, Milford, CT, CCN 077143
  • Accentcare Hospice & Palliative Care of Conecticut Hospice, Middlebury, CT, CCN 071539
  • Franciscan Family Care Center, Hospice, Meriden, CT, CCN 071530
  • Vitas Healthcare Corporation Atlantic Hospice, Middlebury, CT, CCN 071533
  • Griffin Hospital Hospital, Derby, CT, CCN 070031
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Elim Park Baptist Home, Inc Nursing home, Cheshire, CT, CCN 075265
  • Whitney Rehabilitation Care Center Nursing home, Hamden, CT, CCN 075246
  • Cheshire House Health Care Facility & Rehab Center Nursing home, Waterbury, CT, CCN 075373
  • Complete Care at Middlebury Nursing home, Middlebury, CT, CCN 075146

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
83.74
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20100707000370 CT Practitioner - Internal Medicine 1355472358 Reassigns benefits to 1 organization

All facility ownership & control disclosures 2

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marcum LLPCheshire, CT, CCN 075265 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 20, 2016
Mar 12, 2026
Complete Care at Middlebury LLCMiddlebury, CT, CCN 075146 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 14, 2025
Feb 14, 2025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036356CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HHC Physician Services, PLLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
HHC Physician Services, PLLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228

1622 Boston Post Rd
Milford, CT 06460
Phone (475) 209-9130

1453 Whalley Ave
New Haven, CT 06515
Phone (203) 389-4111

250 Indian River Rd
Ste 300
Orange, CT 06477
Phone (203) 738-7700

240 Indian River Rd
Ste A5
Orange, CT 06477
Phone (203) 799-1252

689 Campbell Ave
West Haven, CT 06516
Phone (203) 933-3600

687 Campbell Ave
West Haven, CT 06516
Phone (203) 786-5068

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036356 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

1453 Whalley Ave
New Haven, CT 06515-1153

Mailing address

1453 Whalley Avenue
New Haven, CT 06516
Phone (203) 389-4111

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
001363564MedicaidCT
2326523OtherCTAETNA

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address adedayo.adetola@xdr.hhchealthdirect.org Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 26, 2021.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1861498685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 WHALLEY AVENUE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06516",
            "telephone_number": "203-389-4111",
            "fax_number": "203-889-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 WHALLEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151153",
            "telephone_number": "203-389-4111",
            "fax_number": "203-889-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADETOLA",
        "first_name": "ADEDAYO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "036356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001363564",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2326523",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adedayo.adetola@xdr.hhchealthdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1453 Whalley Ave",
            "city": "New Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065151153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.