ADEBOLA O ADESANYA (MD) – Critical Care Medicine (Anesthesiology) Physician, NPI 1124080288

ADEBOLA O ADESANYA (MD) is a healthcare provider. based in Webster, Texas. specializing in CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. K1331 (TX). The NPI Number for ADEBOLA O ADESANYA (MD) is 1124080288

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
ADEBOLA O ADESANYA (MD)
NPI
1124080288
Phone
(844) 307-4206
Address
500 W Medical Center Blvd
Enumeration Date
4 April 2006
Last Update Date
5 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606461222
Graduation Year
1988 (38 years ago)
PAC ID
0244331775
Group Practice PAC ID
8729449541
Professional Enrollment ID
I20230821001925
Address ID
CT060404131MA71XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,360 CRITICAL CARE (INTENSIVISTS) in TX

Provider Addresses for ADEBOLA O ADESANYA (MD)

  • 500 W Medical Center Blvd

    Webster, TX 775984220

    Phone: (844) 307-4206

    Type: Location

  • 1500 Citywest Blvd

    Ste. 300

    Houston, TX 77042

    Phone: (713) 620-4000

    Type: Location

  • 4020 N MACARTHUR BLVD STE 122-228

    IRVING, TX 750386419

    Phone: (888) 484-8123

    Type: Mailing

  • 4000 Spencer Hwy

    Pasadena, TX 775041202

    Phone: (844) 307-4206

    Type: Location

  • Medical City Alliance, 3101, North Tarrant Parkway, Fort Worth, Tarrant County, Texas, 76177, United States

    FORT WORTH, TX 761778601

    Phone: (817) 639-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2024-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20070726000860ICritical Care (Intensivists)TXTBD
I20150526002612ICritical Care (Intensivists)SDTBD
I20210111001375ICritical Care (Intensivists)NCTBD
I20211227001027ICritical Care (Intensivists)GATBD
I20230821001925ICritical Care (Intensivists)CTTBD
I20240424002856ICritical Care (Intensivists)NYTBD

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
99291Critical care, first 30-74 minutes288104$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6143$0
View full utilization report →

Insurance plans in this area (ZIP 77598)

Loading plans...

Provider's Procedures

ADEBOLA O ADESANYA (MD) performs procedures in CRITICAL CARE (INTENSIVISTS). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CRITICAL CARE (INTENSIVISTS)TX31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope1212

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: 8729449541View full group profile
NameSpecialtyState
Nurse PractitionerNY
Internal MedicineCA
Internal MedicineCT
Nurse PractitionerCT
Physician AssistantCT
Physician AssistantMA
Internal MedicineTX
Physician AssistantCT
Physician AssistantMA
Internal Medicine, Pulmonary Disease, Pulmonary Disease, Critical Care (Intensivists), Internal MedicineCT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify ADEBOLA O ADESANYA (MD) for billing?
Administrative and clinical systems typically use NPI 1124080288 for ADEBOLA O ADESANYA (MD).
Does the public listing show ADEBOLA O ADESANYA (MD) as active?
ADEBOLA O ADESANYA (MD)'s NPI record reflects an active status in NPPES.
What does the directory say ADEBOLA O ADESANYA (MD) does?
Insurance directories may phrase it differently, but here ADEBOLA O ADESANYA (MD) maps to Critical Care Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Is ADEBOLA O ADESANYA (MD) tied to Webster, Texas?
If you are local to Webster, Texas, ADEBOLA O ADESANYA (MD) may be relevant to your search.
Why is information missing for ADEBOLA O ADESANYA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

12222 Merit Dr Ste 600
NPI: 1104875285

MOUSTAFA MOHAMED AHMED (MD)

Pain Medicine (Anesthesiology) Physician
2222 Greenhouse Rd Ste 300
NPI: 1073627683