DR. MOSES O. ADEYANJU M.D. NPI 1306820121

NPI Information

  • NPI: 1306820121
  • Provider Name: DR. MOSES O. ADEYANJU, M.D.
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 405 W JACKSON ST
    PATHOLOGY DEPARTMENT
    CARBONDALE, IL
    ZIP 62901
  • Phone: (618) 549-0721

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NPI Details

DR. Moses O. Adeyanju, M.D. is an anatomic pathology and clinical pathology pathology in Carbondale, IL with 46 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Moses O. Adeyanju, M.D. NPI is 1306820121. 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:

405 W JACKSON ST
PATHOLOGY DEPARTMENT
CARBONDALE, IL
ZIP 62901-462
Phone: (618) 549-0721
Fax: (618) 351-4957

The NPI 1306820121 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.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Pathology examination of specimen during surgery, each additional tissue block (HCPCS:88332)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)

The enumeration date for this NPI number is 12/5/2005 and was last updated on 6/13/2014.

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
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology036-077955ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G84081MEDICARE UPIN
2K20008MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
3036077955-2MEDICAIDILLINOIS
4214881MEDICARE OSCAR/CERTIFICATIONILLINOIS

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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