Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abidemi Adetoyese Adegbola, MD

Individual provider Clinical Genetics (M.D.) Physician · NPI 1669544169

Abidemi Adetoyese Adegbola, MD is a Psychiatry in Philadelphia, Pennsylvania. Qualified in 1998, 28 years ago. Practices with University Hospitals Medical Group Inc, a 2,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts, New Hampshire and Pennsylvania.

Years since qualifying
28
Licensed in
MA, NH, PA
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3905 Ford Rd Ste 6
Philadelphia, PA 19131-2824
Phone: (215) 220-2196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 206 E Brown St, East Stroudsburg, PA 18301-3006 — (570) 476-3422

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD446583 (PA)
Clinical Genetics (M.D.) Physician Taxonomy 207SG0201X · Licence 227766 (MA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 13062 (NH)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 13062 (NH)

Record details

NPI number1669544169
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 14, 2006
Last updated in NPPESJune 17, 2021
Certification dateJune 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice University Hospitals Medical Group Inc — 2242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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