Deborah Olufunmilayo Adebamowo, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MT223602 Issued in PA

Practice address

820 5TH Ave
Chambersburg, PA 17201-4219

Phone

(717) 709-7922

Fax

(717) 263-2055

NPI assigned

May 4, 2021

Reactivated

Apr 20, 2023

Last updated

Jul 18, 2024By 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

Family Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keystone Rural Health CenterGroup PAC ID 5496663312, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dadebamowo167383@direct-guthrie.org
• Direct secure messaging: dadebamowo439719@wellspan.direct-ci.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.

• Keystone Rural Health Center

  dba Keystone Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Chambersburg, PA
  • NPI 1538166905
  Medicare reassignment Care Compare group NPD
• Keystone Rural Health Center

  dba Keystone Pharmacy Catherine Street

  • Community/Retail Pharmacy
  • Chambersburg, PA
  • NPI 1053105288
  NPD
• Keystone Rural Health Center

  dba Keystone Pediatrics Fifth Avenue

  • Federally Qualified Health Center (FQHC)
  • Chambersburg, PA
  • NPI 1861785669
  NPD

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

• The Chambersburg Hospital

  dba WellSpan Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1215060157

  Hospital

  Care Compare affiliation
• The Chambersburg Hospital

  dba WellSpan Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1669523320

  Hospital

  Care Compare affiliation
• The Chambersburg Hospital

  dba WellSpan Chambersburg Hospital

  • General Acute Care Hospital
  • Chambersburg, PA
  • NPI 1902804552
  Care Compare affiliation
• The Chambersburg Hospital

  dba WellSpan Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1952452617

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1992388219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHAMBERS HILL DR STE 200",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017304",
            "telephone_number": "717-709-7922",
            "fax_number": "717-263-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 5TH AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014219",
            "telephone_number": "717-709-7922",
            "fax_number": "717-263-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBAMOWO",
        "first_name": "DEBORAH",
        "middle_name": "OLUFUNMILAYO",
        "name_prefix": "Miss",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "deactivation_date": "2023-03-23",
        "reactivation_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT223602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.