CMS-1500 Box 24J / 33a • NPI
1487638854
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
213EP1101X (CMS 48)
Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Primary Podiatric Medicine
Box 32 Service Location & ZIP+4
1450 MERCANTILE LN, STE 151, UPPER MARLBORO, MD, 20774-5376
✓ 9-Digit EDI 837 ZIP+4 (20774-5376)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1487638854 (ADEMUYIWA ADEKOLA ADETUNJI, DPM) 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
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
No
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1487638854)
Medicare Beneficiaries
443
Total Billed Services
2,607
Distinct CPT/HCPCS Codes
35
Medicare Allowed Total
$308,692.09
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
11056 | Removal of noncancer thickened skin growth, 2-4 growths | 191 |
11057 | Removal of noncancer thickened skin growth, more than 4 growths | 306 |
11720 | Removal of fingernails or toenails, 1-5 nails | 500 |
20551 | Injection into tendon at attachment to bone or muscle | 22 |
73620 | X-ray of foot, 2 views | 24 |
97597 | Removal of tissue from wound, 20.0 sq cm or less | 26 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 58 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 986 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Allopurinol Allopurinol | 13 | <11 |
| Ammonium Lactate Ammonium Lactate | 22 | <11 |
| Ciclopirox Ciclopirox | 12 | <11 |
| Clindamycin Phosphate Clindamycin Phosphate | 14 | <11 |
| Jublia Efinaconazole | 13 | <11 |
| Pregabalin Pregabalin | 12 | <11 |
| Terbinafine Hcl Terbinafine Hcl | 22 | 12 |
| Triamcinolone Acetonide Triamcinolone Acetonide | 40 | 26 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1487638854 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ADEMUYIWA ADEKOLA ADETUNJI, DPM |
| Plain-English Specialty | Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Primary Podiatric Medicine NUCC Code: 213EP1101X (Podiatrist, Primary Podiatric Medicine) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1450 MERCANTILE LN, STE 151, UPPER MARLBORO, MD, 20774-5376 |
| Practice Telephone / Fax | Tel: (301) 386-5453 | Fax: (301) 386-5396 |
| Administrative Mailing Address | P.O.BOX 265, FULTON, MD, 20759-0265 |
| Enumeration & Last Sync | Enumerated: 2005-11-30 | CMS Record Updated: 2017-05-10 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (213EP1101X)
What Does Taxonomy Code 213EP1101X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 213EP1101X translates to:
"Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Primary Podiatric Medicine"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADEMUYIWA ADEKOLA ADETUNJI, DPM)
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
- 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 |
|---|---|
213EP1101X — Podiatrist, Primary Podiatric MedicinePlain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Primary Podiatric Medicine | State: MD | License: 01264 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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