DR. ADESHOLA KAZEEM ADEWUNMI (MD) – Physical Medicine & Rehabilitation Physician, NPI 1285819821

DR. ADESHOLA KAZEEM ADEWUNMI (MD) is a healthcare provider. based in Marietta, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 064735 (GA). The NPI Number for DR. ADESHOLA KAZEEM ADEWUNMI (MD) is 1285819821

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADESHOLA KAZEEM ADEWUNMI (MD)
NPI
1285819821
Phone
(770) 793-7750
Address
677 CHURCH ST NE
Enumeration Date
2 January 2008
Last Update Date
28 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3182542100
Graduation Year
2007 (19 years ago)
PAC ID
6204022510
Group Practice PAC ID
9638246846
Professional Enrollment ID
I20160729000181
Address ID
LA712705950RU401XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:18State licenses:2Digital endpointsOther names

5,409 INTERNAL MEDICINE in GA

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Provider Addresses for DR. ADESHOLA KAZEEM ADEWUNMI (MD)

  • 677, Church Street Northeast, Elizabeth, Marietta, Cobb, Georgia, 30060, United States

    BOX 111

    MARIETTA, GA 300601101

    Phone: (770) 793-7750

    Fax: (770) 793-7755

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Lilly USA, LLC ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$19
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101129001061IInternal MedicineGATBD
I20160729000181IInternal MedicineLATBD
I20161230000650IInternal MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes315118$0
99239Hospital discharge day management, more than 30 minutes133124$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12664$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes104101$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638246846View full group profile
NameSpecialtyState
Family PracticeIL
Internal Medicine, NephrologyLA
Internal Medicine, Geriatric Medicine, Hospice/Palliative CareLA
Family PracticeLA
Emergency Medicine, Internal Medicine, Emergency MedicineNJ
Hospitalist, Family PracticeOH
Family PracticeLA
Internal Medicine, Emergency MedicineLA
Internal MedicineLA
Emergency MedicineLA

Reviews

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Frequently asked questions

Is DR. ADESHOLA KAZEEM ADEWUNMI (MD) listed with a National Provider Identifier?
Yes — DR. ADESHOLA KAZEEM ADEWUNMI (MD) has NPI 1285819821 on file in the registry.
Would DR. ADESHOLA KAZEEM ADEWUNMI (MD) appear as active to a payer?
You can treat DR. ADESHOLA KAZEEM ADEWUNMI (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. ADESHOLA KAZEEM ADEWUNMI (MD)?
DR. ADESHOLA KAZEEM ADEWUNMI (MD)'s record emphasizes Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ADESHOLA KAZEEM ADEWUNMI (MD)?
Directory geography for DR. ADESHOLA KAZEEM ADEWUNMI (MD) centers on Marietta, Georgia.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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