CMS-1500 Box 24J / 33a • NPI
1801089123
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
516 N ROLLING RD STE 301, CATONSVILLE, MD, 21228-4133
✓ 9-Digit EDI 837 ZIP+4 (21228-4133)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1801089123 (FELIX A ADEYEMI, PHYSICIAN ASSISSTANT) 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
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1801089123)
Medicare Beneficiaries
89
Total Billed Services
931
Distinct CPT/HCPCS Codes
17
Medicare Allowed Total
$80,911.55
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
80307 | Testing for presence of drug, by chemistry analyzers | 278 |
82075 | Measurement of alcohol level in breath specimen | 93 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 27 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 172 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 39 |
G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 101 |
G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 115 |
Q3014 | Telehealth originating site facility fee | 83 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl | 309 | 120 |
| Naloxone Hcl Naloxone Hcl | 15 | 11 |
| Naltrexone Hcl Naltrexone Hcl | 13 | <11 |
| Suboxone Buprenorphine Hcl/Naloxone Hcl | 48 | 20 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1801089123 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | FELIX A ADEYEMI, PHYSICIAN ASSISSTANT |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 516 N ROLLING RD STE 301, CATONSVILLE, MD, 21228-4133 |
| Practice Telephone / Fax | Tel: (877) 522-1275 | Fax: (509) 491-3031 |
| Administrative Mailing Address | 500 SW 7TH ST STE A205, RENTON, WA, 98057-2983 |
| Enumeration & Last Sync | Enumerated: 2007-08-21 | CMS Record Updated: 2025-02-26 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (FELIX A ADEYEMI, PHYSICIAN ASSISSTANT)
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 |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: MD | License: C0003585 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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