CMS-1500 Box 24J / 33a • NPI
1811296668
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RX0202X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
200 HIGH PARK AVE, GOSHEN, IN, 46526-4810
✓ 9-Digit EDI 837 ZIP+4 (46526-4810)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1811296668 (BOLANLE ADEOLA ADEPOJU, 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
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1811296668)
Medicare Beneficiaries
280
Total Billed Services
502
Distinct CPT/HCPCS Codes
13
Medicare Allowed Total
$52,772.14
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 30 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 37 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 249 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 134 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Anastrozole Anastrozole | 228 | 88 |
| Exemestane Exemestane | 13 | <11 |
| Hydroxyurea Hydroxyurea | 11 | <11 |
| Lenalidomide Lenalidomide | 20 | <11 |
| Letrozole Letrozole | 29 | 14 |
| Lynparza Olaparib | 11 | <11 |
| Ondansetron Odt Ondansetron | 11 | <11 |
| Potassium Chloride Potassium Chloride | 19 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1811296668 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BOLANLE ADEOLA ADEPOJU, M.D. |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RX0202X (Internal Medicine, Medical Oncology) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 200 HIGH PARK AVE, GOSHEN, IN, 46526-4810 |
| Practice Telephone / Fax | Tel: (574) 364-2888 |
| Administrative Mailing Address | 200 HIGH PARK AVE, GOSHEN, IN, 46526-4810 |
| Enumeration & Last Sync | Enumerated: 2011-03-18 | CMS Record Updated: 2023-08-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RX0202X)
What Does Taxonomy Code 207RX0202X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RX0202X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BOLANLE ADEOLA ADEPOJU, M.D.)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RX0202X — Internal Medicine, Medical OncologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: IN | License: 01073993 | Primary: Yes (Primary) |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: IN | License: 01073993 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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