Samuel Adekunle Adefeyisan, MD
NPI 1568673556ActiveIndividual· Anesthesiology· Grand Prairie, TX
Anesthesiology (MD) with American Anesthesiology Associates of Georgia LLC and 1 other group, practicing in Grand Prairie, Texas. Medicare paid $6,201 for services to 72 patients in 2024. Lists Piedmont Columbus Regional Midtown as a hospital affiliation.
Overview
| NPI | 1568673556 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 24, 2007 |
| Last updated in NPPES | Dec 16, 2024 |
| Certified by provider | Dec 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 062934 | GA |
| Anesthesiology | 207L00000X | MD.29707 | AL |
| Anesthesiology | 207L00000X | 83699 | SC |
| Pediatrics | 208000000X | 062934 | GA |
| Pediatrics | 208000000X | MD.2009 | AL |
| Pediatrics, Pediatric Critical Care Medicine | 2080P0203X | 062934 | GA |
| Pediatrics, Pediatric Critical Care Medicine | 2080P0203X | MD.29707 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (GA); Practitioner - Anesthesiology (NC); Practitioner - Anesthesiology (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 72 |
|---|---|
| Services billed | 76 across 33 procedure codes |
| Paid by Medicare | $6,201 |
Education and affiliations
| Graduation year | 1986 |
|---|---|
| Medicare specialty | Anesthesiology |
Medical groups
- American Anesthesiology Associates of Georgia LLCReidsville, GA · 227 clinicians
- Hospitalist Medicine Physicians of Georgia - Tcs, PCColumbus, GA · 115 clinicians
Hospital affiliation
- Piedmont Columbus Regional MidtownColumbus, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Anesthesiology providers in Grand Prairie
- 1285295410
- 1679901847
- 1538370788