JENNIFER OLUYEMISI ADEGHATE MD PHD NPI 1437655891

NPI Information

  • NPI: 1437655891
  • Provider Name: JENNIFER OLUYEMISI ADEGHATE, MD, PHD
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 925 N 87TH ST
    MILWAUKEE, WI
    ZIP 53226
  • Phone: (414) 955-2020

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NPI Details

Jennifer Oluyemisi Adeghate, MD, PHD is a retina specialist ophthalmology in Milwaukee, WI with 10 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. Jennifer Oluyemisi Adeghate, MD, PHD NPI is 1437655891. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

925 N 87TH ST
MILWAUKEE, WI
ZIP 53226-812
Phone: (414) 955-2020

The NPI 1437655891 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 enumeration date for this NPI number is 4/4/2018 and was last updated on 10/1/2024.

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
1207WX0107XOphthalmologyRetina Specialist83991-20WISCONSINYes
2207W00000XOphthalmology317267NEW YORKNo

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
1100284234MEDICAIDWISCONSIN

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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