Ajoke Bamisile, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME119956 Issued in FL

Practice address

3505 Lake Lynda Dr Ste 200
Orlando, FL 32817-8333

Phone

(407) 567-1907

Fax

(407) 550-7469

NPI assigned

Jun 3, 2011

Last updated

Apr 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Internal Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Post Acute Care Clinicians LLCGroup PAC ID 3971820598, 35 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/fhir/r4/

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.

• Florida Post Acute Care Clinicians, LLC

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1811398811
  Medicare reassignment Care Compare group NPD
• Nautilus Health Care Group LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Melbourne, FL
  • NPI 1912013558
  Medicare reassignment
• Eri Healthcare, LLC

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1235710278
  Authorized official Same address or phone
• Florida Post Acute Care Clinicians, LLC

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1699225029
  NPD
• Affinity Physician Services LLC

  • General Practice Physician
  • Birmingham, AL
  • NPI 1366485617
  NPD (past)

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712448000000",
    "number": "1215221528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 LAKE LYNDA DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178333",
            "telephone_number": "407-567-1907",
            "fax_number": "407-550-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 LAKE LYNDA DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178333",
            "telephone_number": "407-567-1907",
            "fax_number": "407-550-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMISILE",
        "first_name": "AJOKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2024-04-07",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME119956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Rose Balsamo
• Lindsey Balta, MD
• Carrie Nicole Balthazar, ARNP
• Saba Balvardi
• Carmelita Bamba Dagani, MD
• Banana Wind Medical Group, L.L.C (Dynamik Health Care)
• Michael Lawrence Banda, PA-C
• Ashvika Bandaru
• Tanmai Bandarupalli
• Waldyr Mauricio Banderas Echeverry, MD

• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; 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.