CMS-1500 Box 24J / 33a • NPI
1679795280
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
3901 LONE TREE WAY, ANTIOCH, CA, 94509-6200
✓ 9-Digit EDI 837 ZIP+4 (94509-6200)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1679795280 (ADEDOTUN A ADEWUSI, MD) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1679795280 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ADEDOTUN A ADEWUSI, MD |
| 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 | 3901 LONE TREE WAY, ANTIOCH, CA, 94509-6200 |
| Practice Telephone / Fax | Tel: (925) 756-1192 | Fax: (925) 779-7220 |
| Administrative Mailing Address | 3687 MT DIABLO BLVD, LAFAYETTE, CA, 94549-3717 |
| Enumeration & Last Sync | Enumerated: 2007-05-03 | CMS Record Updated: 2017-01-31 |
Clinic Location, Accessibility & Directions
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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"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADEDOTUN A ADEWUSI, MD)
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 |
|---|---|
208M00000X — HospitalistPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist | State: PA | License: MD442593 | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: PA | License: MD442593 | Primary: Secondary |
208000000X — PediatricsPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: PA | License: MD442593 | Primary: Secondary |
208M00000X — HospitalistPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist | State: NY | License: 249539 | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: NY | License: 249539 | Primary: Secondary |
208000000X — PediatricsPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: NY | License: 249539 | Primary: Secondary |
208M00000X — HospitalistPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist | State: CA | License: C135329 | Primary: Yes (Primary) |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: CA | License: C135329 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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