Abimbola T Ajayi, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L2079 Issued in TX

Practice address

655 Walnut St
West Reading, PA 19611-1242

Phone

(610) 372-9222

Fax

(610) 372-0232

NPI assigned

Jul 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abimbola.ajayi@aacppp-pa.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/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.

• Penn State Health Medical Group, LLC

  • Hematology & Oncology Physician
  • Harrisburg, PA
  • NPI 1861988644
  Medicare reassignment NPD
• Penn State Health Medical Group, LLC

  • Diagnostic Radiology Physician
  • Harrisburg, PA
  • NPI 1457824013
  NPD
• All About Children Pediatric Partners PC

  • Pediatrics Physician
  • West Reading, PA
  • NPI 1801854401
  NPD (past)
• Penn State Health Medical Group, LLC

  • Dermatology Physician
  • Camp Hill, PA
  • NPI 1407500143
  NPD (past)
• Rio Grande Pediatric Clinic

  dba Juan Aguilera and Associates

  • Pediatrics Physician
  • Rio Grande City, TX
  • NPI 1568768943
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1407889041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6946",
            "city": "READING",
            "state": "PA",
            "postal_code": "196100946",
            "telephone_number": "610-372-9222",
            "fax_number": "610-372-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 WALNUT ST",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111242",
            "telephone_number": "610-372-9222",
            "fax_number": "610-372-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "ABIMBOLA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L2079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102511442",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Adil
• Advance Medical Staffing, Inc.
• Neha Aggarwal, DO
• Hasan Ahmed, DO
• Keerat Rai Ahuja
• Oyewale Dale Akinrefon
• Thomas Keith Albert, DPM
• Alexander T. Massengale, M.D., P.C.
• Jennyphane Alexandre, MSC
• Muhammad Zain Ali, MD

• Pediatrics Physician in West Reading, PA
• Providers in West Reading, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.