IFEOLUWA OPEYEMI ADEKANYE – Family Medicine Physician, NPI 1699419804

IFEOLUWA OPEYEMI ADEKANYE is a healthcare provider. based in Peoria, Illinois. specializing in FAMILY PRACTICE. They hold a License No. D0104043 (MD). The NPI Number for IFEOLUWA OPEYEMI ADEKANYE is 1699419804

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
IFEOLUWA OPEYEMI ADEKANYE
NPI
1699419804
Phone
(309) 672-4977
Address
815 MAIN ST STE C
Enumeration Date
25 April 2022
Last Update Date
14 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4103916996
Graduation Year
2021 (5 years ago)
PAC ID
0941703995
Group Practice PAC ID
8123308020
Professional Enrollment ID
I20250915000966
Address ID
MD212224647DU2800XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for IFEOLUWA OPEYEMI ADEKANYE

  • 815 MAIN ST STE C

    PEORIA, IL 616021080

    Phone: (309) 672-4977

    Type: Mailing

  • 6370 BEECHFIELD AVE

    ELKRIDGE, MD 210755616

    Phone:

    Type: Mailing

  • 2800 SOLLERS POINT RD

    DUNDALK, MD 212224647

    Phone: (410) 391-6996

    Type: Location

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: 2025-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250915000966IFamily PracticeMDTBD

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 61602)

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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: 8123308020View full group profile
NameSpecialtyState
Internal MedicineMD
Nurse PractitionerMD
-MD
Nurse PractitionerMD
Nurse PractitionerMD
Internal MedicineMD
Internal MedicineMD
Internal MedicineMD
Nurse PractitionerMD
Nurse PractitionerVA

Reviews

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Frequently asked questions

What number should I use to identify IFEOLUWA OPEYEMI ADEKANYE for billing?
Administrative and clinical systems typically use NPI 1699419804 for IFEOLUWA OPEYEMI ADEKANYE.
Is IFEOLUWA OPEYEMI ADEKANYE currently accepting referrals based on NPI status?
Registry metadata lists IFEOLUWA OPEYEMI ADEKANYE as active.
Which specialty label fits IFEOLUWA OPEYEMI ADEKANYE?
NPPES ties IFEOLUWA OPEYEMI ADEKANYE to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to IFEOLUWA OPEYEMI ADEKANYE?
The directory associates IFEOLUWA OPEYEMI ADEKANYE with Peoria, Illinois. Check all listed addresses for suites or satellite offices.
Can I export IFEOLUWA OPEYEMI ADEKANYE's record?
You can download the official NPPES record; we summarize key fields for readability.

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