CMS-1500 Box 24J / 33a • NPI
1073965562
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207R00000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
2800 MAIN ST, BRIDGEPORT, CT, 06606-4201
✓ 9-Digit EDI 837 ZIP+4 (06606-4201)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1073965562 (JITE TOBORE ADENIRAN, M.D.) 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
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1073965562)
Medicare Beneficiaries
129
Total Billed Services
133
Distinct CPT/HCPCS Codes
3
Medicare Allowed Total
$20,052.68
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 47 |
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 85 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1073965562 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JITE TOBORE ADENIRAN, M.D. |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207R00000X (Internal Medicine) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 2800 MAIN ST, BRIDGEPORT, CT, 06606-4201 |
| Practice Telephone / Fax | Tel: (202) 390-5943 |
| Administrative Mailing Address | 2900 MAIN ST APT 332, BRIDGEPORT, CT, 06606-4210 |
| Enumeration & Last Sync | Enumerated: 2016-07-07 | CMS Record Updated: 2019-08-28 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207R00000X)
What Does Taxonomy Code 207R00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JITE TOBORE ADENIRAN, M.D.)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: NM | License: MD2019-0148 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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