OLUSOLAPE AJIBOLA ADEGBEHINGBE, M.D — NPI 1679756977 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1679756977

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

208M00000X (CMS C6)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist

Box 32 Service Location & ZIP+4

3400 MINISTRY PKWY, WESTON, WI, 54476-5220

✓ 9-Digit EDI 837 ZIP+4 (54476-5220)

Practice Phone & Referral Fax

(715) 393-3000

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1679756977 (OLUSOLAPE AJIBOLA ADEGBEHINGBE, 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

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	`1679756977` (NPI-1 Individual Practitioner)
Provider / Legal Name	OLUSOLAPE AJIBOLA ADEGBEHINGBE, M.D
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist NUCC Code: `208M00000X` (Hospitalist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3400 MINISTRY PKWY, WESTON, WI, 54476-5220
Practice Telephone / Fax	Tel: (715) 393-3000
Administrative Mailing Address	909 FROSTWOOD DR STE 1.100, HOUSTON, TX, 77024-2301
Enumeration & Last Sync	Enumerated: 2007-12-10 \| CMS Record Updated: 2025-11-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3400 MINISTRY PKWY, WESTON, WI, 54476-5220

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Plain-English Taxonomy & CMS Crosswalk (208M00000X)

What Does Taxonomy Code 208M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208M00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C6 (Physician/Hospitalist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Hospitalist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (OLUSOLAPE AJIBOLA ADEGBEHINGBE, M.D)

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
`208M00000X` — Hospitalist Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist	State: TX \| License: `S4082` \| Primary: Yes (Primary)
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: WI \| License: `53929` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: TX \| License: `S4082` \| Primary: Secondary
`208M00000X` — Hospitalist Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist	State: WI \| License: `53929` \| Primary: Secondary

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OLUSOLAPE AJIBOLA ADEGBEHINGBE, M.D (NPI #1679756977)