Nichelle Secorra Adegbite-Maraventano, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD437835 Issued in PA

Practice address

3401 Civic Center Blvd
Children's Hospital of Philadelphia
Philadelphia, PA 19104-4319

Phone

(215) 590-1000

Fax

(215) 590-2180

NPI assigned

Sep 20, 2010

Last updated

Feb 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Pediatric Medicine

Education

George Washington University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of PhiladelphiaGroup PAC ID 6305758723, 86 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nichelle.adegbite-maraventano.1@28228.direct.athenahealth.com
• Direct secure messaging: nichelle.adegbitemaraventano@pdphahs.eclinicaldirectplus.com

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.

• City of Philadelphia

  dba Health Care Center 2

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1942317094
  Medicare reassignment Care Compare group NPD
• Peds 360 Plus Corp

  • Pediatrics Physician
  • Jenkintown, PA
  • NPI 1730940263
  Medicare reassignment NPD Authorized official
• Childrens Health Care Associates, Inc

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1598869059
  Medicare reassignment NPD
• Childen's Health Care Associates Inc.

  dba CHCA Nurse Practitioners

  • Pediatric Registered Nurse
  • Philadelphia, PA
  • NPI 1699860643
  NPD
• Childrens Health Care Associates, Inc

  dba CHCA CHOP Campus

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1184719130
  NPD
• City of Philadelphia

  dba Health Care Center 4

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1144337189
  NPD
• City of Philadelphia

  dba Phila Health Dept Laboratory

  • Clinical Medical Laboratory
  • Phila, PA
  • NPI 1689688798
  NPD
• City of Philadelphia

  dba Health Care Center 9

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1427165307
  NPD (past)

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1891003208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PENN SQUARE EAST - NORTH TOWER",
            "address_2": "WANAMAKER BLDG - 9TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073323",
            "telephone_number": "267-425-9232",
            "fax_number": "267-425-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "address_2": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319",
            "telephone_number": "215-590-1000",
            "fax_number": "215-590-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEGBITE-MARAVENTANO",
        "first_name": "NICHELLE",
        "middle_name": "SECORRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD437835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addus Health Care Inc (Addus HomeCare)
• Editus Addy
• Ajoke Olivia Adebayo
• Oluwakemi Adedokun
• Rasidat Adeduntan, MD
• Abidemi Adetoyese Adegbola, M.D
• Ibijoke Helen Adegboyega, CRNP
• Enitan Adegite, MD
• Tatiana Adejare, D.C.
• Olukemi A Adekanmbi, MD

• Pediatrics Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.