NPIMap

Individual provider Active NPI

Adekunle Ajayi, M.D.

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1255368486
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10724 Issued in NV
Practice address
5900 W Rochelle Ave
Las Vegas, NV 89103-3304
Phone
(702) 364-1111
Fax
(702) 364-8183
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 10724 NV Primary

Addresses

Primary practice location

5900 W Rochelle Ave
Las Vegas, NV 89103-3304

Mailing address

8965 S Pecos Rd Ste 10B
Henderson, NV 89074-7159
Phone (702) 826-4942

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
I20070515000434 NV Practitioner - Psychiatry 9032216700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8965 S Pecos Rd
Suite 10B
Henderson, NV 89074-7159
Phone (702) 826-4942

Hospital & facility affiliations

  • North Vista Hospital Hospital, North Las Vegas, NV, CCN 290005
  • University Medical Center Hospital, Las Vegas, NV, CCN 290007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10724NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PHC of Nevada Inc Psychiatry CurrentSince Apr 20, 2019 Accepting new patients
A- Ajayi MD, PLLC Psychiatry CurrentSince Aug 17, 2010 Accepting new patients
A-Ajayi MD,PLLC Psychiatry Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
A-Ajayi MD,PLLC Psychiatry Past Accepting new patients

Locations

8965 S Pecos Rd
Ste 10B
Henderson, NV 89074
Phone (702) 452-3002

1701 W Charleston Blvd
Ste 300
Las Vegas, NV 89102
Phone (702) 251-8000

Organizations & group practices 5

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1255368486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8965 S PECOS RD STE 10B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747159",
            "telephone_number": "702-826-4942",
            "fax_number": "702-826-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 W ROCHELLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033304",
            "telephone_number": "702-364-1111",
            "fax_number": "702-364-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "ADEKUNLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "10724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.