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

Dr. Olusegun M Adeonigbagbe, MD

Individual provider Gastroenterology Physician · NPI 1073570081

Dr. Olusegun M Adeonigbagbe, MD is a Gastroenterology in Hollis, New York. Qualified in 1987, 39 years ago. Practices with Interfaith Professional Physician Services PC, a 384-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
39
Licensed in
NY
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

19203 Jamaica Ave
Hollis, NY 11423-2529
Phone: (718) 217-7744
Fax: (718) 217-7233
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 201260 (NY)

Record details

NPI number1073570081
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 26, 2006
Last updated in NPPESAugust 4, 2008

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Interfaith Professional Physician Services Pc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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