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

Dr. Adetayo Richard Ademuyiwa, MD

Individual provider Pulmonary Disease Physician · NPI 1407944911

Dr. Adetayo Richard Ademuyiwa, MD is a Pulmonary Disease in St. Louis, Missouri. Qualified in 1998, 28 years ago. Practices with Adventist Health Physicians Network, a 632-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
28
Licensed in
CA
In the registry since
2006
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

10651
St. Louis, MO 63141
Phone: (636) 999-9999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 232 Hospital Dr Ste A, Ukiah, CA 95482-4562 — (707) 467-3189

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence C186469 (CA)

Record details

NPI number1407944911
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 10, 2006
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 28, 2025

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Adventist Health Physicians Network — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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