Individual provider Active NPI

Akinyemi Olutoye Ajayi, MD

  • Pediatric Pulmonology Physician
  • Winter Park, FL
National Provider Identifier
1215915152
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
84664 Issued in FL
Practice address
2660 W Fairbanks Ave
Winter Park, FL 32789-3385
Phone
(407) 898-2767
Fax
(407) 898-9443
NPI assigned
Dec 30, 2005
Last updated
Feb 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X 84664 FL Primary
Pediatric Sleep Medicine Physician 2080S0012X ME84664 FL

Addresses

Primary practice location

2660 W Fairbanks Ave
Winter Park, FL 32789-3385

Mailing address

2660 W Fairbanks Ave
Winter Park, FL 32789-3385
Phone (407) 898-2767

Other identifiers 1

IdentifierTypeStateIssuer
265151300MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040528000641 FL Practitioner - Pediatric MedicinePractitioner - Pulmonary Disease 0648251231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Pulmonary Disease
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Pediatric Pulmonary and Sleep Associates PAGroup PAC ID 8224200233, 2 clinicians

Practice addresses (Care Compare)

2660 W Fairbanks Ave
Winter Park, FL 32789-3385
Phone 4078982767104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84664FLMDPediatric Pulmonology Physician
ME84664FLMDPediatric Sleep Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Pediatric Pulmonary and Sleep Associates PA Pediatric Pulmonology CurrentSince Jul 30, 2011 Accepting new patients

Locations

533 N Clyde Morris Blvd
Ste C
Daytona Beach, FL 32114
Phone (386) 254-1951

8061 Spyglass Hill Rd
Ste 103
Melbourne, FL 32940
Phone (866) 383-0556

4151 Hunters Park Ln
Ste 108
Orlando, FL 32837

561 NW Lake Whitney Pl
Ste 101
Port Saint Lucie, FL 34986
Phone (561) 631-1636

16606 N Dale Mabry Hwy
Tampa, FL 33618

4700 N Habana Ave
Ste 200
Tampa, FL 33614

2660 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 253-1000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1215915152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893385",
            "telephone_number": "407-898-2767",
            "fax_number": "407-898-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893385",
            "telephone_number": "407-898-2767",
            "fax_number": "407-898-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "AKINYEMI",
        "middle_name": "OLUTOYE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "FL",
            "license": "84664",
            "primary": true
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "FL",
            "license": "ME84664",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265151300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.