Olaoluwa Oladipo Fayanju, MD, MS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35134072 Issued in OH

Practice address

10553 Saint Clair Ave
Cleveland, OH 44108-1973

Phone

(216) 682-7702

Fax

(216) 920-6273

NPI assigned

Apr 12, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MD, MS, AL4 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 4

Specialty

Family Practice

Education

Tufts University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sage Health Maryland LLCGroup PAC ID 7012368251, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olaoluwa.fayanju.1@27478.direct.athenahealth.com
• Direct secure messaging: ofayanju187931@direct.metrohealth.org

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.

• Sage Health Maryland LLC

  • Primary Care Clinic/Center
  • Woodlawn, MD
  • NPI 1770294324
  Medicare reassignment Care Compare group NPD
• Advocate Health and Hospitals Corporation

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455
  Medicare reassignment NPD
• Sage Health Alabama LLC

  • Primary Care Clinic/Center
  • Mobile, AL
  • NPI 1063123602
  Medicare reassignment NPD
• Sage Health Mississippi LLC

  • Primary Care Clinic/Center
  • Gulfport, MS
  • NPI 1861103400
  Medicare reassignment NPD
• The Metrohealth System

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1700828852
  NPD
• Advocate Health & Hospitals Corp.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1750315545
  NPD
• Advocate Health and Hospitals Corporation

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  NPD
• Oak Street Physician Services LLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1609234202
  NPD (past)
• Practice Services of Indiana PC

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1215383021

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1114284411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MONROE ST",
            "address_2": "STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032420",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10553 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441081973",
            "telephone_number": "216-682-7702",
            "fax_number": "216-920-6273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16888 Harvard Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441282208",
            "country_code": "US",
            "telephone_number": "216-810-7159",
            "fax_number": "216-920-6286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6410 Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441051253",
            "country_code": "US",
            "telephone_number": "216-303-7925",
            "fax_number": "216-927-8147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1431 Wayne Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454101411",
            "country_code": "US",
            "telephone_number": "937-348-7001",
            "fax_number": "937-949-6113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2429 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452117915",
            "country_code": "US",
            "telephone_number": "513-452-7005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4271 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454171406",
            "country_code": "US",
            "telephone_number": "937-348-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAYANJU",
        "first_name": "OLAOLUWA",
        "middle_name": "OLADIPO",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036138589",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35134072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookie L Favors
• Joshala Favors
• Aviva L. Fax, MD
• Alex Fay, RN
• Yael Fay, DNP
• Mojtaba Fayezizadeh
• Wynett Fayne
• Fazari Transportation Limited
• Jennie Fazio, MSN, APRN, FNP-C
• Michael A Fazio, MH COUNSELOR-QMHS-BA

• Family Medicine Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.