DR. HENRY OLUGBENGA ADEKOLA (MD) – Obstetrics & Gynecology Physician, NPI 1104196641

DR. HENRY OLUGBENGA ADEKOLA (MD) is a healthcare provider. based in Springfield, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 036-143019 (IL). The NPI Number for DR. HENRY OLUGBENGA ADEKOLA (MD) is 1104196641

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. HENRY OLUGBENGA ADEKOLA (MD)
NPI
1104196641
Phone
(217) 545-8000
Address
PO BOX 19659
Enumeration Date
30 December 2011
Last Update Date
29 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2175455817
Graduation Year
1999 (27 years ago)
PAC ID
0547574600
Group Practice PAC ID
2365352820
Professional Enrollment ID
I20171018000043
Address ID
IL627025303SP415XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:14State licenses:3Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

Provider Addresses for DR. HENRY OLUGBENGA ADEKOLA (MD)

  • PO BOX 19659

    SPRINGFIELD, IL 627949659

    Phone: (217) 545-8000

    Fax: (217) 757-6388

    Type: Mailing

  • 415 N 9TH ST # 6W30

    SPRINGFIELD, IL 627025303

    Phone: (217) 545-8000

    Fax: (217) 757-6388

    Type: Location

  • 400 N 9TH ST FL 3

    SPRINGFIELD, IL 627025310

    Phone: (217) 545-8000

    Fax: (217) 757-6388

    Type: Location

  • 320 E Central Ave

    Decatur, IL 625214665

    Phone: (217) 545-8000

    Fax: (217) 545-3952

    Type: Location

  • 612 N 11th St

    Quincy, IL 623012662

    Phone: (217) 545-8000

    Type: Location

  • 1215 Franciscan Dr

    Litchfield, IL 620561778

    Phone: (217) 545-8000

    Type: Location

  • PO BOX 19639

    SPRINGFIELD, IL 627949639

    Phone: (217) 545-8000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-07-21

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
I20171018000043IObstetrics/GynecologyILTBD
I20200306002026IObstetrics/GynecologyKYTBD
I20220721001820IObstetrics/GynecologyINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62794)

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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: 2365352820View full group profile
NameSpecialtyState
Internal MedicineIL
Physician AssistantIL
Pulmonary DiseaseIL
D E R M A T O L O G YIL
-IL
E N D O C R I N O L O G YIL
Physician AssistantIL
General SurgeryIL
Nurse PractitionerIL
Nurse PractitionerIL

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Frequently asked questions

What is the 10-digit NPI for DR. HENRY OLUGBENGA ADEKOLA (MD)?
DR. HENRY OLUGBENGA ADEKOLA (MD) — NPI 1104196641 — is the standard way to identify this listing.
Is DR. HENRY OLUGBENGA ADEKOLA (MD) still practicing?
DR. HENRY OLUGBENGA ADEKOLA (MD) is currently listed as active in the public NPI registry.
What healthcare role does DR. HENRY OLUGBENGA ADEKOLA (MD) hold?
Scheduling teams often label DR. HENRY OLUGBENGA ADEKOLA (MD) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. HENRY OLUGBENGA ADEKOLA (MD) based?
DR. HENRY OLUGBENGA ADEKOLA (MD) is tied to Springfield, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about DR. HENRY OLUGBENGA ADEKOLA (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."