ADETOKUNBO OBAYEMI MD NPI 1205217965

NPI Information

  • NPI: 1205217965
  • Provider Name: ADETOKUNBO OBAYEMI, MD
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 750 EAST ADAMS STREET
    CWB RM 251
    SYRACUSE, NY
    ZIP 13210
  • Phone: (201) 431-5751

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NPI Details

Adetokunbo Obayemi, MD is an otolaryngology/facial plastic surgery otolaryngology in Syracuse, NY with 10 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. Adetokunbo Obayemi, MD NPI is 1205217965. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

750 EAST ADAMS STREET
CWB RM 251
SYRACUSE, NY
ZIP 13210
Phone: (201) 431-5751

The NPI 1205217965 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/17/2015 and was last updated on 3/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology308888NEW YORKNo
2208600000XSurgery308888NEW YORKNo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery308888NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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