Dr Motunrayo Adisa, MD - Medicare Dermatology in Kenilworth, IL

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Dr Motunrayo Adisa, MD is a medicare enrolled "Dermatology" physician in Kenilworth, Illinois. She graduated from medical school in 2007 and has 18 years of diverse experience with area of expertise as Dermatology. Her current practice location is 554 Green Bay Rd Ste E, Kenilworth, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 483-4397.

Dr Motunrayo Adisa is licensed to practice in Illinois (license number 036125295) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326229121.

Contact Information

Dr Motunrayo Adisa, MD
554 Green Bay Rd Ste E,
Kenilworth, IL 60043-1086
(312) 483-4397
Not Available

Map and Direction




Physician's Profile

Full NameDr Motunrayo Adisa
GenderFemale
SpecialityDermatology
Experience18 Years
Location554 Green Bay Rd Ste E, Kenilworth, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Motunrayo Adisa graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1326229121
  • Provider Enumeration Date: 11/20/2007
  • Last Update Date: 01/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4880851583
  • Enrollment ID: I20120208000608

Medical Identifiers

Medical identifiers for Dr Motunrayo Adisa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326229121NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0900XDermatology - Dermatopathology 036125295 (Illinois)Secondary
207R00000XInternal Medicine 125-052-665 (Illinois)Secondary
207N00000XDermatology 036125295 (Illinois)Primary
207ND0900XDermatology - Dermatopathology 256848 (Massachusetts)Secondary

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 Motunrayo Adisa allows following entities to bill medicare on her behalf.
Entity NameDermatologists Of Illinois, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851358345
PECOS PAC ID: 9537128004
Enrollment ID: O20041008001130
Entity NameDermatology Physicians Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063978138
PECOS PAC ID: 6800137183
Enrollment ID: O20190415001989

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 Motunrayo Adisa 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 Motunrayo Adisa, MD
60 E Delaware Pl Ste 1450,
Chicago, IL 60611-6559

Ph: (312) 483-4397		Dr Motunrayo Adisa, MD
554 Green Bay Rd Ste E,
Kenilworth, IL 60043-1086

Ph: (312) 483-4397

Reviews and Comments


Dermatology Doctors in Kenilworth, IL


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.