DR. ADEBOWALE A. ADEYEMI (MD) – Pediatric Transplant Hepatology Physician, NPI 1952420580

DR. ADEBOWALE A. ADEYEMI (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Pediatric Transplant Hepatology Physician. They hold the professional credentials MD. They hold a License No. MD437152 (PA). The NPI Number for DR. ADEBOWALE A. ADEYEMI (MD) is 1952420580

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADEBOWALE A. ADEYEMI (MD)
NPI
1952420580
Phone
(215) 590-3247
Address
3401 Civic Center Blvd
Enumeration Date
28 March 2007
Last Update Date
25 June 2018

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
3026514200
Graduation Year
2002 (24 years ago)
PAC ID
2163609058
Group Practice PAC ID
9537072483
Professional Enrollment ID
I20110601000529
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:19State licenses:3Digital endpointsOther names

Provider Addresses for DR. ADEBOWALE A. ADEYEMI (MD)

  • 3401 Civic Center Blvd

    Philadelphia, PA 191044319

    Phone: (215) 590-3247

    Type: Location

  • PO BOX 191

    PROVIDER ENROLLMENT DEPT

    ROCKLAND, DE 197320191

    Phone: (302) 651-6212

    Fax: (302) 651-4945

    Type: Mailing

  • 1600 ROCKLAND ROAD

    WILMINGTON, DE 19803

    Phone: (302) 651-4000

    Fax: (302) 651-5838

    Type: Location

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 $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-03-31 • Largest payer in this snapshot: QOL Medical, LLC ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
QOL Medical, LLC$25
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: 2011-06-01

PECOS data refreshed: 2026-06-15

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
I20110601000529IGastroenterologyDETBD

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 19104)

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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: 9537072483View full group profile
NameSpecialtyState
-AR
-DE
Diagnostic Radiology, Pediatric MedicinePA
-FL
Pediatric MedicineDE
-DE
Diagnostic RadiologyFL
Pediatric MedicineFL
Pulmonary Disease, Pediatric MedicineDE
Cardiovascular Disease (Cardiology)MO

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ADEBOWALE A. ADEYEMI (MD)?
NPI 1952420580 is assigned to DR. ADEBOWALE A. ADEYEMI (MD) under the national enumeration system.
Is DR. ADEBOWALE A. ADEYEMI (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. ADEBOWALE A. ADEYEMI (MD)?
The page reflects Pediatric Transplant Hepatology Physician for DR. ADEBOWALE A. ADEYEMI (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ADEBOWALE A. ADEYEMI (MD)?
The page summarizes Philadelphia, Pennsylvania for DR. ADEBOWALE A. ADEYEMI (MD); expand the address list for detail.
How can I contact DR. ADEBOWALE A. ADEYEMI (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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