Individual provider Active NPI

Oluwadamilare Olalekan Ajayi, MD

  • Dermatopathology Physician
  • Portland, OR
National Provider Identifier
1063948487
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
MD215961 Issued in OR
Practice address
3303 S Bond Ave
Portland, OR 97239-4501
Phone
(503) 418-3376
Fax
(503) 494-6968
NPI assigned
May 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X MD215961 OR Primary
Dermatopathology (Pathology) Physician 207ZD0900X 52535 AL

Addresses

Primary practice location

3303 S Bond Ave
Portland, OR 97239-4501

Mailing address

5301 Virginia Way Ste 300
Brentwood, TN 37027-7542
Phone (615) 221-4400

Other practice location 1

3512 Old Montgomery Hwy
Birmingham, AL 35209-5750
Phone (205) 879-2260

Other practice location 2

234 Goodman Street
Department of Pathology and Laboratory Medicine
Cincinnati, OH 45219
Phone (513) 558-7043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240503001867 TX Practitioner - Pathology 1557632262 Reassigns benefits to 2 organizations
I20251111001678 AL Practitioner - Pathology 1557632262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists, LLCGroup PAC ID 0648167544, 137 clinicians

Practice addresses (Care Compare)

3512 Old Montgomery Hwy
Homewood, AL 35209-5750
Phone (205) 879-2260

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD215961ORMDDermatopathology Physician
52535ALMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sagis, PLLC CurrentSince Sep 5, 2024 Accepting new patients
Clear Lake Pathology Partners LTD CurrentSince Mar 6, 2024 Accepting new patients
J S Wilkenfeld MD & Associates Current Accepting new patients
Associated Pathologists, LLC Dermatopathology CurrentSince Oct 30, 2025 Accepting new patients
Houston Pathology Associates Current Accepting new patients
Alliance Pathology Consultants PA Dermatopathology Current Accepting new patients
Sagis PLLC CurrentSince Sep 5, 2024 Accepting new patients
Associated Pathologists LLC Past Accepting new patients

Locations

3512 Old Montgomery Hwy
Homewood, AL 35209
Phone (205) 879-2260

5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977

1033 La Posada Dr
Ste 365
Austin, TX 78752

4131 Directors Row
Houston, TX 77092
Phone (713) 586-6705

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

10918 Vance Jackson Rd
Ste 100
San Antonio, TX 78230
Phone (210) 558-9996

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1063948487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 VIRGINIA WAY STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277542",
            "telephone_number": "615-221-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S BOND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394501",
            "telephone_number": "503-418-3376",
            "fax_number": "503-494-6968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3512 Old Montgomery Hwy",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352095750",
            "country_code": "US",
            "telephone_number": "205-879-2260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 Goodman Street",
            "address_2": "Department of Pathology and Laboratory Medicine",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45219",
            "country_code": "US",
            "telephone_number": "513-558-7043",
            "fax_number": "513-584-3892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "OLUWADAMILARE",
        "middle_name": "OLALEKAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "OR",
            "license": "MD215961",
            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "AL",
            "license": "52535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.