Individual provider Active NPI

Oyintayo Ajiboye, MD

  • Nephrology Physician
  • Dallas, TX
National Provider Identifier
1174017222
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
U1851 Issued in TX
Practice address
9900 N Central Expy Ste 215
Dallas, TX 75231-0929
Phone
(214) 396-4950
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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 125072505 IL
Nephrology Physician 207RN0300X U1851 TX Primary

Addresses

Primary practice location

9900 N Central Expy Ste 215
Dallas, TX 75231-0929

Mailing address

9900 N Central Expy Ste 215
Dallas, TX 75231-0929
Phone (214) 396-4950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230706000030 TX Practitioner - NephrologyPractitioner - Internal Medicine 8426392671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Straightline Medical ConsultantsGroup PAC ID 3577752658, 8 clinicians

Practice addresses (Care Compare)

9900 N Central Expy
Suite 215
Dallas, TX 75231-0929
Phone (214) 396-4950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.76 of 100Reported as group
Quality
93.37
Promoting interoperability
98
Improvement activities
40
Cost
74.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Straightline Medical Consultants Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

9900 N Central Expy
Ste 215
Dallas, TX 75231
Phone (214) 355-2600

Organizations & group practices 1

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 6

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1174017222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY STE 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310929",
            "telephone_number": "214-396-4950",
            "fax_number": "877-423-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY STE 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310929",
            "telephone_number": "214-396-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJIBOYE",
        "first_name": "OYINTAYO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125072505",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "U1851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.