Olusegun Adetuyi, MD, MPH - Medicare Family Practice in Phoenix, AZ

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Olusegun Adetuyi, MD, MPH is a medicare enrolled "Family Medicine" physician in Phoenix, Arizona. He graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 4212 N 16th St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 263-1200.

Olusegun Adetuyi is licensed to practice in California (license number A122119) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417275033.

Contact Information

Olusegun Adetuyi, MD, MPH
4212 N 16th St,
Phoenix, AZ 85016-5319
(602) 263-1200
(602) 263-1619

Map and Direction




Physician's Profile

Full NameOlusegun Adetuyi
GenderMale
SpecialityFamily Practice
Experience20 Years
Location4212 N 16th St, Phoenix, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Olusegun Adetuyi graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1417275033
  • Provider Enumeration Date: 05/06/2010
  • Last Update Date: 01/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961641576
  • Enrollment ID: I20140626002537

Medical Identifiers

Medical identifiers for Olusegun Adetuyi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417275033NPI-NPPES
A122119OtherCACA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist A122119 (California)Secondary
207Q00000XFamily Medicine A122119 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Foundation Hospital - South BayHarbor city, CAHospital
Kaiser Foundation Hospital - DowneyDowney, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291758172

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Olusegun Adetuyi allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameInpatient Services Of California A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609019215
PECOS PAC ID: 3274421532
Enrollment ID: O20040413000789
Entity NameCounty Of Monterey
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205863255
PECOS PAC ID: 2466345632
Enrollment ID: O20050502000456
Entity NameHospitalist Medicine Physicians Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184663965
PECOS PAC ID: 8426062027
Enrollment ID: O20060202000956
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335
Entity NameAaron K Tran Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376824854
PECOS PAC ID: 2365608890
Enrollment ID: O20120726000688
Entity NameWarmdoc Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528482130
PECOS PAC ID: 3678798071
Enrollment ID: O20151002000961
Entity NameAsad U Khaja Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619342623
PECOS PAC ID: 9335444108
Enrollment ID: O20160217000289
Entity NameSuperior Hospitalist Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780047712
PECOS PAC ID: 1456650928
Enrollment ID: O20160504002343
Entity NameHospitalist Medicine Physicians Of California - Stockton Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891273405
PECOS PAC ID: 9830440155
Enrollment ID: O20180926002041
Entity NameHospitalist Medicine Physicians Of California - Salinas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699253211
PECOS PAC ID: 4486905668
Enrollment ID: O20180927000876
Entity NameSv Hospitalist Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215593140
PECOS PAC ID: 6103150347
Enrollment ID: O20190621002913

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Olusegun Adetuyi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Olusegun Adetuyi, MD, MPH
Po Box 3514,
Redondo Beach, CA 90277-1514

Ph: (559) 572-2583		Olusegun Adetuyi, MD, MPH
4212 N 16th St,
Phoenix, AZ 85016-5319

Ph: (602) 263-1200

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.