Individual provider Active NPI

Olukemi O. Fajolu, M.D.

  • Orthopaedic Hand Surgery Physician
  • Lakeland, FL
National Provider Identifier
1023268620
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
324361 Issued in NY
Practice address
2000 E Edgewood Dr Ste 112
Lakeland, FL 33803-3639
Phone
(863) 666-3436
NPI assigned
Sep 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X ME121700 FL
Orthopaedic Surgery Physician 207X00000X 57.014619 OH
Orthopaedic Surgery Physician 207X00000X D91700 MD
Orthopaedic Hand Surgery Physician 207XS0106X 324361 NY Primary

Addresses

Primary practice location

2000 E Edgewood Dr Ste 112
Lakeland, FL 33803-3639

Mailing address

1324 Lakeland Hills Blvd
Attn Managed Care
Lakeland, FL 33805-4543
Phone (863) 687-1100

Other practice location 1

3910 Ariva Loop Apt 301
Lakeland, FL 33812-4453
Phone (609) 284-7519

Other practice location 2

3030 Harden Blvd
Lakeland, FL 33803-7952
Phone (863) 687-1250

Other practice location 3

10700 Charter Dr Ste 205
Columbia, MD 21044-3687
Phone (443) 546-1553

Other practice location 4

4433 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 771-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MD, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161028001850 FL Practitioner - Hand Surgery 1759669534 Reassigns benefits to 2 organizations
I20210811003052 MD Practitioner - Orthopedic SurgeryPractitioner - Sports MedicinePractitioner - Hand Surgery 1759669534 Reassigns benefits to 1 organization
I20230828001915 NY Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 1759669534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Regional Health Systems IncGroup PAC ID 8325952914, 513 clinicians

Practice addresses (Care Compare)

130 Pablo St
Lakeland, FL 33803-3818
Phone (863) 284-5941

1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1248

199 Ave B NW
Suite 310
Winter Haven, FL 33881-4546
Phone (863) 284-1659

3525 Lakeland Hills Blvd
Lakeland, FL 33805-1965
Phone (863) 603-6565

Attn Managed Care
1324 Lakeland HLLS Blvd
Lakeland, FL 33805-4543

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
86.74
Promoting interoperability
99
Improvement activities
40
Cost
70.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57.014619OHMDOrthopaedic Surgery Physician
ME121700FLMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Aug 1, 2021 Accepting new patients
Orthopedic Center of Palm Beach County, LLC CurrentSince Oct 1, 2022 Accepting new patients
Johns Hopkins University Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Orthopedic Center of Palm Beach County CurrentSince Oct 1, 2022 Accepting new patients
Johns Hopkins University Current Accepting new patients
Lakeland Regional Health Systems, Inc. Orthopaedic Surgery CurrentSince Oct 31, 2016 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Aug 10, 2023 Accepting new patients
United Medical Associates, P.C. CurrentSince Sep 10, 2023 Accepting new patients
United Medical Associates PC CurrentSince Sep 10, 2023 Accepting new patients
Lakeland Regional Medical Center, Inc. Past Accepting new patients
Orthopedic Center of Palm Beach County, LLC Orthopaedic Surgery Past Accepting new patients

Locations

10275 Hagen Ranch Rd
Ste 200
Boynton Beach, FL 33437
Phone 5619676500 ext. 1324

3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1222

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

2000 E Edgewood Dr
Ste 112
Lakeland, FL 33803
Phone (863) 666-3436

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

4940 Eastern Ave
Baltimore, MD 21224

10700 Charter Dr
Ste 205
Columbia, MD 21044
Phone (443) 546-1575

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

8836 State Route 434
Apalachin, NY 13732
Phone (607) 625-4151

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

4433 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 762-2176

Networks

  • Freedom Health HMO Network
  • FL PPO
  • Optimum HealthCare HMO Network

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1023268620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 LAKELAND HILLS BLVD",
            "address_2": "ATTN MANAGED CARE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054543",
            "telephone_number": "863-687-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E EDGEWOOD DR STE 112",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033639",
            "telephone_number": "863-666-3436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3910 Ariva Loop Apt 301",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338124453",
            "country_code": "US",
            "telephone_number": "609-284-7519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 Harden Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338037952",
            "country_code": "US",
            "telephone_number": "863-687-1250",
            "fax_number": "863-687-1258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10700 Charter Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443687",
            "country_code": "US",
            "telephone_number": "443-546-1553",
            "fax_number": "443-546-1551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4433 Vestal Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Vestal",
            "state": "NY",
            "postal_code": "138503556",
            "country_code": "US",
            "telephone_number": "607-771-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAJOLU",
        "first_name": "OLUKEMI",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME121700",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "57.014619",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D91700",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NY",
            "license": "324361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.