NPIMap

Individual provider Active NPI

Ayodele Okunola, M.D.

  • Internal Medicine Physician
  • Sparks, NV
National Provider Identifier
1124290317
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13936 Issued in NV
Practice address
2375 E Prater Way
Sparks, NV 89434-9641
Phone
(775) 352-5301
Fax
(775) 352-5303
NPI assigned
Mar 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13936 NV Primary
Hospitalist Physician 208M00000X 13936 NV

Addresses

Primary practice location

2375 E Prater Way
Sparks, NV 89434-9641

Mailing address

2345 E Prater Way Ste 207
Sparks, NV 89434-9634
Phone (775) 352-5301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823000881 NV Practitioner - HospitalistPractitioner - Internal Medicine 6608046974 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Nevada Medical Group LLCGroup PAC ID 7214093020, 83 clinicians
Premier Medical LLCGroup PAC ID 8224391743, 4 clinicians

Practice addresses (Care Compare)

2375 E Prater Way
Sparks, NV 89434-9641
Phone (775) 351-5301

2385 E Prater Way
Suite 205
Sparks, NV 89434-9688
Phone (775) 356-4888

3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone (702) 616-5000

Hospital & facility affiliations

  • Hospice Services of Reno Hospice, Sparks, NV, CCN 291568
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Carson Valley Health Hospital, Gardnerville, NV, CCN 291306
  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rabessler MD PC Family Medicine CurrentSince Apr 13, 2019 Accepting new patients
Saint Marys Medical Group Inc. Hospitalist CurrentSince Jul 1, 2022 Accepting new patients
Premier Medical LLC Family Medicine CurrentSince Mar 4, 2018 Accepting new patients
Saint Mary'S Medical Group Inc CurrentSince Jul 1, 2022 Accepting new patients
Bessler MD, PLLC Family Medicine CurrentSince Apr 13, 2019 Accepting new patients
Saint Marys Urgent Care LLC Current Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

2660 Crimson Canyon Dr
Ste 130
Las Vegas, NV 89128
Phone (702) 326-2077

8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: aokunola2151@direct.renown.org

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.

Hospital & facility affiliations 10

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1124290317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY STE 207",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349634",
            "telephone_number": "775-352-5301",
            "fax_number": "775-352-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 E PRATER WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349641",
            "telephone_number": "775-352-5301",
            "fax_number": "775-352-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNOLA",
        "first_name": "AYODELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "13936",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "13936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.