Dr Ibrahim Adejoh Idakoji, MD - Medicare Diagnostic Radiology in Stanford, CA

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Dr Ibrahim Adejoh Idakoji, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Stanford, California. He went to Northwestern University Feinberg Medical School and graduated in 2011 and has 14 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Tower Imaging Medical Associates Inc, Tower Imaging Medical Group Inc, Providence Medical Foundation and his current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to his office (for appointments etc.) via phone at (510) 209-1547.

Dr Ibrahim Adejoh Idakoji is licensed to practice in California (license number A123106) 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 1639463573.

Contact Information

Dr Ibrahim Adejoh Idakoji, MD
300 Pasteur Dr,
Stanford, CA 94305-2200
(510) 209-1547
Not Available

Map and Direction




Physician's Profile

Full NameDr Ibrahim Adejoh Idakoji
GenderMale
SpecialityDiagnostic Radiology
Experience14 Years
Location300 Pasteur Dr, Stanford, California
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:
  • Dr Ibrahim Adejoh Idakoji attended and graduated from Northwestern University Feinberg Medical School in 2011
  NPI Data:
  • NPI Number: 1639463573
  • Provider Enumeration Date: 06/08/2011
  • Last Update Date: 10/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4183906548
  • Enrollment ID: I20170119000534

Medical Identifiers

Medical identifiers for Dr Ibrahim Adejoh Idakoji such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639463573NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology A123106 (California)Primary
2085R0202XRadiology - Diagnostic Radiology A123106 (California)Secondary
207R00000XInternal Medicine 125059767 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Mayo Newhall HospitalValencia, CAHospital
Providence Saint John's Health CenterSanta monica, CAHospital
Cedars-sinai Medical CenterLos angeles, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tower Imaging Medical Associates Inc216360868881
Tower Imaging Medical Group Inc266837670825
Providence Medical Foundation89219932051329

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. Dr Ibrahim Adejoh Idakoji allows following entities to bill medicare on his behalf.
Entity NameTower Imaging Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013962067
PECOS PAC ID: 2668376708
Enrollment ID: O20031120001020
Entity NameRenaissance Imaging Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487608931
PECOS PAC ID: 7315841756
Enrollment ID: O20031126000257
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameTower Imaging Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023315074
PECOS PAC ID: 2163608688
Enrollment ID: O20110518000583
Entity NameGolden State Imaging Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144872052
PECOS PAC ID: 1254761315
Enrollment ID: O20200414001788

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. Dr Ibrahim Adejoh Idakoji 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
Dr Ibrahim Adejoh Idakoji, MD
1670 El Camino Real, Apt. 264,
Menlo Park, CA 94025-4145

Ph: (510) 209-1547		Dr Ibrahim Adejoh Idakoji, MD
300 Pasteur Dr,
Stanford, CA 94305-2200

Ph: (510) 209-1547

Reviews and Comments


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Bryan Alexander Lanzman, MD
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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.