LATIFAT ADELEKAN-ADEOGUN – Psychiatric/Mental Health Nurse Practitioner, NPI 1689124125

LATIFAT ADELEKAN-ADEOGUN is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP132188 (TX). The NPI Number for LATIFAT ADELEKAN-ADEOGUN is 1689124125

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
LATIFAT ADELEKAN-ADEOGUN
NPI
1689124125
Phone
(214) 275-7393
Address
4645 SAMUELL BLVD
Enumeration Date
7 October 2016
Last Update Date
1 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035899000
Graduation Year
2016 (10 years ago)
PAC ID
6305129644
Group Practice PAC ID
4284718107
Professional Enrollment ID
I20170210000462
Address ID
TX757663307JA1011XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for LATIFAT ADELEKAN-ADEOGUN

  • 4645, Samuell Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75223, United States

    DALLAS, TX 752286826

    Phone: (214) 275-7393

    Type: Mailing

  • 404 E BROAD ST STE 600

    MANSFIELD, TX 760631743

    Phone: (319) 600-6693

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($125).

Total Amount

$125

General + Research + Ownership

Payments

2

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-02-10

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
I20170210000462INurse PractitionerTXTBD

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 75228)

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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: 4284718107View full group profile
NameSpecialtyState
Nurse PractitionerTX
Mental Health CounselorTX
Mental Health CounselorTX
-TX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Mental Health CounselorTX
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What number should I use to identify LATIFAT ADELEKAN-ADEOGUN for billing?
Administrative and clinical systems typically use NPI 1689124125 for LATIFAT ADELEKAN-ADEOGUN.
Does the public listing show LATIFAT ADELEKAN-ADEOGUN as active?
LATIFAT ADELEKAN-ADEOGUN's NPI record reflects an active status in NPPES.
How should patients interpret LATIFAT ADELEKAN-ADEOGUN's specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for LATIFAT ADELEKAN-ADEOGUN. Clinical services aligned with this taxonomy classification.
What city is tied to LATIFAT ADELEKAN-ADEOGUN?
The directory associates LATIFAT ADELEKAN-ADEOGUN with Dallas, Texas. Check all listed addresses for suites or satellite offices.
Who maintains LATIFAT ADELEKAN-ADEOGUN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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