NPIMap

Individual provider Active NPI

Olayinka David Ajayi, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fargo, ND
National Provider Identifier
1063773547
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
16561 Issued in ND
Practice address
3000 32ND Ave S
Fargo, ND 58103-6132
Phone
(701) 364-8000
NPI assigned
May 31, 2012
Last updated
Jan 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 63536 MN
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 16561 ND Primary

Addresses

Primary practice location

3000 32ND Ave S
Fargo, ND 58103-6132

Mailing address

1702 University Dr S
Fargo, ND 58103-4940

Other practice location 1

9825 Gate Pkwy N Apt 4212
Jacksonville, FL 32246-9252
Phone (678) 732-5920

Other practice location 2

4498 Hendricks Ave
Jacksonville, FL 32207-6326
Phone (904) 854-1730

Other names 1

  • Olayinka David Ajayi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN, ND3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171101002965 FL Practitioner - Preventive Medicine 2769786706 Reassigns benefits to 5 organizations
I20180608001738 MN Practitioner - Preventive MedicinePractitioner - Undersea and Hyperbaric Medicine 2769786706 Reassigns benefits to 1 organization
I20200929002747 ND Practitioner - Undersea and Hyperbaric Medicine 2769786706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undersea and Hyperbaric Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

Practice addresses (Care Compare)

3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63536MNMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health LLC CurrentSince Nov 9, 2020 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC CurrentSince Oct 24, 2017 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Oct 25, 2017 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Oct 25, 2017 Accepting new patients
St Mary's Regional Health Center CurrentSince Nov 9, 2020 Accepting new patients
Innovis Health LLC CurrentSince Nov 9, 2020 Accepting new patients
St. Marys Regional Health Center Current Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Oct 25, 2017 Accepting new patients
Solantic/South Florida, LLC CurrentSince Oct 25, 2017 Accepting new patients
St Mary's Regional Health Center CurrentSince Nov 9, 2020 Accepting new patients
Medexpress Urgent Care Minnesota P.C. Past Accepting new patients
Solantic of Jacksonville, LLC PastSince Aug 15, 2021 Accepting new patients

Locations

512 E Altamonte Dr
Ste 1000
Altamonte Springs, FL 32701
Phone (321) 319-0212

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

1205 N University Dr
Coral Springs, FL 33071
Phone (954) 780-8134

3581 SW Archer Rd
Ste 40
Gainesville, FL 32608
Phone (352) 888-4449

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

1021 Cesery Blvd
Jacksonville, FL 32211
Phone (904) 743-2466

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

4498 Hendricks Ave
Jacksonville, FL 32207
Phone (904) 854-1730

136 Parliament Loop
Ste 1020
Lake Mary, FL 32746
Phone (407) 333-0160

410 Atlantic Blvd
Neptune Beach, FL 32266
Phone (904) 223-2343

2415 SW College Rd
Ocala, FL 34471
Phone (352) 237-3536

2555 S Kirkman Rd
Orlando, FL 32811
Phone (407) 362-2030

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

784 E Prima Vista Blvd
Port St Lucie, FL 34952
Phone (772) 878-7311

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300

1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 9

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": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1063773547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 32ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036132",
            "telephone_number": "701-364-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9825 Gate Pkwy N Apt 4212",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322469252",
            "country_code": "US",
            "telephone_number": "678-732-5920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4498 Hendricks Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322076326",
            "country_code": "US",
            "telephone_number": "904-854-1730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "OLAYINKA",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "MN",
            "license": "63536",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "ND",
            "license": "16561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLAYINKA",
            "last_name": "AJAYI",
            "middle_name": "DAVID",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.