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

Dr. Adesola Adenegan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063875102

Dr. Adesola Adenegan, MD is an Interventional Cardiology in San Antonio, Texas. Qualified in 2014, 12 years ago. Practices with Cardiology Clinic of San Antonio, PLLC, a 123-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2016
Specialties on file
3
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

4411 Medical Dr Ste 300
San Antonio, TX 78229-3824
Phone: (210) 614-5400
Fax: (210) 614-2413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4800 Alberta Ave, El Paso, TX 79905-2709 — (915) 215-8000

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence S4083 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence S4083 (TX)

Record details

NPI number1063875102
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2016
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cardiology Clinic Of San Antonio, Pllc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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