Individual provider Active NPI

Opeoluwa Ajibike, CRNA

  • Certified Registered Nurse Anesthetist
  • Winchester, VA
National Provider Identifier
1073122891
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024180855 Issued in VA
Practice address
878 Fox Dr
Winchester, VA 22603-8613
Phone
(540) 662-8336
Fax
(540) 662-8593
NPI assigned
Jul 28, 2020
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024180855 VA Primary

Addresses

Primary practice location

878 Fox Dr
Winchester, VA 22603-8613

Mailing address

878 Fox Dr
Winchester, VA 22603-8613
Phone (540) 662-8336

Other practice location 1

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Other practice location 2

1860 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address oajibike766810@soc.inova.org
Direct Messaging Address oajibike766810@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210201001183 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446664502 Reassigns benefits to 3 organizations
I20230111002369 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446664502 Reassigns benefits to 1 organization
I20230314001157 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446664502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Hospital IncGroup PAC ID 3375444524, 155 clinicians

Practice addresses (Care Compare)

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 260-1443

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Feb 1, 2021 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Dec 1, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
City Hospital, Inc. CurrentSince Mar 26, 2024 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Dec 1, 2021 Accepting new patients
Winchester Medical Center, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Feb 1, 2023 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Feb 1, 2023 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Anesthesiologists Inc CurrentSince Jun 1, 2022 Accepting new patients
Winchester Medical Center Current Accepting new patients
City Hospital Inc Nurse Anesthetist, Certified Registered Current Accepting new patients

Locations

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

2000 15th St N
Ste 600
Arlington, VA 22201
Phone (202) 416-2000

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1860 Amherst St
Winchester, VA 22601
Phone (540) 536-7870

874 Fox Dr
Winchester, VA 22603
Phone (540) 662-0990

878 Fox Dr
Winchester, VA 22603
Phone (540) 546-2624

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

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 1

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1073122891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 FOX DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226038613",
            "telephone_number": "540-662-8336",
            "fax_number": "540-662-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 FOX DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226038613",
            "telephone_number": "540-662-8336",
            "fax_number": "540-662-8593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1860 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJIBIKE",
        "first_name": "OPEOLUWA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2021-03-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024180855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oajibike766810@soc.inova.org",
            "affiliation": "N",
            "address_1": "1860 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oajibike766810@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.