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

Dr. Ibrahim Adejoh Idakoji, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1639463573

Dr. Ibrahim Adejoh Idakoji, MD is a Diagnostic Radiology in Stanford, California. Graduated from Northwestern University Feinberg Medical School in 2011, 15 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
15
Trained at
Northwestern University Feinberg Medical School
Licensed in
CA, IL
In the registry since
2011
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

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (510) 209-1547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence A123106 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A123106 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125059767 (IL)

Record details

NPI number1639463573
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2011
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address1670 El Camino Real, Apt. 264, Menlo Park, CA 94025-4145

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2011 (15 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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