Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275840357 Individual Practitioner Male Practitioner

Dr. Anthony Adeniran , MD

Physician Assistant • Carol Stream, IL

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Adeniran, MD is a registered healthcare professional specializing in Physician Assistant in Carol Stream, IL. Practice services are available at 877 PEMBROOK CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

877 Pembrook Ct

Carol Stream, IL 601883077

Telephone 3315512817

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Carol Stream, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Carol Stream, IL (4958 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PR 001333

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Specialist/Technologist, Other - Surgical Assistant

NUCC Taxonomy Code: 246ZC0007X

State License IL 238.000099

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License PR 1333

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Gobierno De Puerto Rico Departamento De Salud
001333 (PR)
Commercial Insurance / Payer ID Gobierno De Puerto Rico Departamento De Salud
1333 (PR)
Commercial Insurance / Payer ID Absa
99-264 (CO)

Secondary Practice Locations

1314 Kensington Rd

Oak Brook, IL 605232131

Phone: 3315512817

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address November 01, 2022

Registered at PO BOX 5082, OAK BROOK, IL 605225082

📍
Updated Practice Location April 13, 2021

Registered at 877 PEMBROOK CT, CAROL STREAM, IL 601883077 (Tel: 3315512817)

👤
Provider Name / Credentials Updated April 13, 2021

Recorded as ANTHONY ADENIRAN, MD

NPI Profile Active September 02, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2011

Registered at 909 W EUCLID AVE, ARLINGTON HEIGHTS, IL 600051086 (Tel: 7088225475)

📍
Updated Business Mailing Address September 02, 2011

Registered at P.O. BOX 103, ARLINGTON HEIGHTS, IL 60006

👤
Provider Name / Credentials Updated September 02, 2011

Recorded as ANTHONY ADENIRAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2011

Specialist/Technologist, Other (License #238.000099 in IL)

🟢
Initial NPI Registration & Enumeration September 09, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1275840357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2010
Last Update: November 01, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 5082

Oak Brook, IL 605225082

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.