MATTHEW ADELEKE — NPI 1730218157 (Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies in COMPTON, CA)

CMS-1500 Box 24J / 33a • NPI

1730218157

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

332B00000X (CMS 54)

Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies

Box 32 Service Location & ZIP+4

209 N CENTRAL AVE, COMPTON, CA, 90220-1425

✓ 9-Digit EDI 837 ZIP+4 (90220-1425)

Practice Phone & Referral Fax

(310) 639-1907

Fax: (310) 999-6568

⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT: NPI 1730218157 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min) — Effective 2016-04-20). Verify before submitting Medicare/Medicaid claims.

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	`1730218157` (NPI-1 Individual Practitioner)
Provider / Legal Name	MATTHEW ADELEKE
Plain-English Specialty	Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies NUCC Code: `332B00000X` (Durable Medical Equipment & Medical Supplies)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	209 N CENTRAL AVE, COMPTON, CA, 90220-1425
Practice Telephone / Fax	Tel: (310) 639-1907 \| Fax: (310) 999-6568
Administrative Mailing Address	209 N CENTRAL AVENUE, COMPTON, CA, 90220-1425
Enumeration & Last Sync	Enumerated: 2007-03-02 \| CMS Record Updated: 2008-08-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

209 N CENTRAL AVE, COMPTON, CA, 90220-1425

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Plain-English Taxonomy & CMS Crosswalk (332B00000X)

What Does Taxonomy Code 332B00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 332B00000X translates to:
"Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 54 (Other Medical Supply Company) • CMS Code 58 (Medical Supply Company with Pharmacist) • CMS Code 87[3] (All Other Suppliers) • CMS Code A2[9] (Intermediate Care Nursing Facility) • CMS Code A6 (Medical Supply Company with Respiratory Therapist) • CMS Code A7 (Department Store) • CMS Code A8 (Grocery Store) • CMS Code B3 (Medical supply company with pedorthic personnel)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Durable Medical Equipment & Medical Supplies for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MATTHEW ADELEKE)

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
`332B00000X` — Durable Medical Equipment & Medical Supplies Plain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies	State: CA \| License: `46799` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MATTHEW ADELEKE (NPI #1730218157)