GBENGA ADEYEMI ADEYEYE, DO — NPI 1053654814 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology in BALTIMORE, MD)

CMS-1500 Box 24J / 33a • NPI

1053654814

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2085R0204X (CMS 94)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology

Box 32 Service Location & ZIP+4

9000 FRANKLIN SQUARE DR, BALTIMORE, MD, 21237-3901

✓ 9-Digit EDI 837 ZIP+4 (21237-3901)

Practice Phone & Referral Fax

(757) 619-2749

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053654814 (GBENGA ADEYEMI ADEYEYE, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1053654814` (NPI-1 Individual Practitioner)
Provider / Legal Name	GBENGA ADEYEMI ADEYEYE, DO
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology NUCC Code: `2085R0204X` (Radiology, Vascular & Interventional Radiology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	9000 FRANKLIN SQUARE DR, BALTIMORE, MD, 21237-3901
Practice Telephone / Fax	Tel: (757) 619-2749
Administrative Mailing Address	3400 RACHEL TER APT 18, PINE BROOK, NJ, 07058-9360
Enumeration & Last Sync	Enumerated: 2013-03-30 \| CMS Record Updated: 2025-04-03

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9000 FRANKLIN SQUARE DR, BALTIMORE, MD, 21237-3901

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Plain-English Taxonomy & CMS Crosswalk (2085R0204X)

What Does Taxonomy Code 2085R0204X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0204X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 94 (Physician/Interventional Radiology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Radiology, Vascular & Interventional Radiology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GBENGA ADEYEMI ADEYEYE, DO)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363A00000X` — Physician Assistant Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant	State: MD \| License: `C05998` \| Primary: Secondary
`363A00000X` — Physician Assistant Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant	State: VA \| License: `0110004213` \| Primary: Secondary
`2085R0204X` — Radiology, Vascular & Interventional Radiology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology	State: NY \| License: `330954` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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GBENGA ADEYEMI ADEYEYE, DO (NPI #1053654814)