Individual provider Active NPI

Ayodeji Alaketu

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1194286567
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME181378 Issued in FL
Practice address
9208 King Palm Dr
Tampa, FL 33619-1328
Phone
(813) 972-2000
NPI assigned
Mar 28, 2019
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X ME181378 FL Primary

Addresses

Primary practice location

9208 King Palm Dr
Tampa, FL 33619-1328

Mailing address

9208 King Palm Dr
Tampa, FL 33619-1328
Phone (813) 972-2000

Other practice location 1

1381 S Patrick Dr
Patrick Air Force Base, FL 32925-3606
Phone (321) 494-8241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32997NEMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1194286567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9208 KING PALM DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336191328",
            "telephone_number": "813-972-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9208 KING PALM DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336191328",
            "telephone_number": "813-972-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1381 S Patrick Dr",
            "address_purpose": "LOCATION",
            "city": "Patrick Air Force Base",
            "state": "FL",
            "postal_code": "329253606",
            "country_code": "US",
            "telephone_number": "321-494-8241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAKETU",
        "first_name": "AYODEJI",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME181378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.