ADETAYO S MABADEJE (M.D.) – Anesthesiology Physician, NPI 1104898600

ADETAYO S MABADEJE (M.D.) is a healthcare provider. based in Houston, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101235560 (VA). The NPI Number for ADETAYO S MABADEJE (M.D.) is 1104898600

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
ADETAYO S MABADEJE (M.D.)
NPI
1104898600
Phone
(281) 358-8114
Address
PO BOX 3945
Enumeration Date
7 February 2006
Last Update Date
13 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7133592000
Graduation Year
1995 (31 years ago)
PAC ID
7214829621
Group Practice PAC ID
4082040878
Professional Enrollment ID
I20070713000514
Address ID
TX775041202PA4000XHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,592 ANESTHESIOLOGY in TX

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Provider Addresses for ADETAYO S MABADEJE (M.D.)

  • Houston Post Office, 123, South Main Street, Houston, Washington County, Pennsylvania, 15342, United States

    DEPT 841

    HOUSTON, TX 772533945

    Phone: (281) 358-8114

    Fax: (281) 358-0609

    Type: Mailing

  • Bayshore Medical Center, 4000, Spencer Highway, Pasadena, Harris County, Texas, 77504, United States

    PASADENA, TX 775041202

    Phone: (713) 359-2000

    Fax: (713) 359-1004

    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: 2007-07-13

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
I20070713000514IAnesthesiologyTXTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 77253)

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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: 4082040878View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
A N E S T H E S I O L O G YTX
Anesthesiology, Pain ManagementIL
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
-TX
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

Where can patients find ADETAYO S MABADEJE (M.D.)'s NPI?
You can confirm ADETAYO S MABADEJE (M.D.) with NPI 1104898600; it appears in the national provider directory.
Does this profile mean ADETAYO S MABADEJE (M.D.) is currently active?
Yes — ADETAYO S MABADEJE (M.D.) appears active in the national provider directory.
What field does ADETAYO S MABADEJE (M.D.) work in?
You can think of ADETAYO S MABADEJE (M.D.) as practicing within Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for ADETAYO S MABADEJE (M.D.)?
The page summarizes Houston, Texas for ADETAYO S MABADEJE (M.D.); expand the address list for detail.
How can I contact ADETAYO S MABADEJE (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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