Individual provider Active NPI

Aderemi A. Jaiyeola, MD

  • Gastroenterology Physician
  • Farmington, NM
National Provider Identifier
1467426940
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
36062 Issued in NE
Practice address
630 W Maple St
Farmington, NM 87401-6113
Phone
(505) 609-6349
NPI assigned
Feb 14, 2006
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 33409 KY
Gastroenterology Physician 207RG0100X MD2026-0227 NM
Gastroenterology Physician 207RG0100X 36062 NE Primary
Gastroenterology Physician 207RG0100X 62199 WI

Addresses

Primary practice location

630 W Maple St
Farmington, NM 87401-6113

Mailing address

PO Box 844088
Dallas, TX 75284-4088
Phone (505) 609-2258

Other practice location 1

816 22nd Ave Ste 100
Kearney, NE 68845-2226
Phone (308) 865-2263

Other practice location 2

1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300

Other practice location 3

601 E San Antonio St Ste 303W
Victoria, TX 77901-6002
Phone (361) 572-5907

Other identifiers 2

IdentifierTypeStateIssuer
201308470MedicaidIN
7100455730MedicaidKY

Other names 1

  • Dr. Remi R Jaiyeola Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI, NE, NM4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040805001275 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 9032180567
I20140523001174 WI Practitioner - Gastroenterology 9032180567 Reassigns benefits to 1 organization
I20231208000848 NE Practitioner - Gastroenterology 9032180567 Reassigns benefits to 1 organization
I20260331001632 NM Practitioner - Gastroenterology 9032180567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Hospital KearneyGroup PAC ID 5991195547, 116 clinicians

Practice addresses (Care Compare)

630 W Maple St
SJHP Gastroenterology
Farmington, NM 87401-6113
Phone (505) 609-6349

816 22ND Ave
Suite 100
Kearney, NE 68845-2226
Phone (308) 865-2263

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18
Upper gastrointestinal (GI) endoscopy for acid reflux41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2026-0227NMMDGastroenterology Physician
62199WIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Hospital Kearney CurrentSince Dec 1, 2023 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Apr 1, 2019 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Apr 1, 2019 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Bryan Hospital Kearney CurrentSince Dec 1, 2023 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jun 13, 2022 Accepting new patients
Regional Employee Assistance Program Inc Gastroenterology Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jun 13, 2022 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Platte Valley Medical Group, P.C. Past Accepting new patients
Remi Jaiyeola MD PLLC Gastroenterology PastSince Mar 1, 2011 Accepting new patients

Locations

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263

1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900

601 E San Antonio St
Ste 303W
Victoria, TX 77901
Phone (361) 485-2695

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

Interoperability endpoints

  • Direct secure messaging: ajaiyeola641102@direct.emplifyhealth.org

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1467426940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844088",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844088",
            "telephone_number": "505-609-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016113",
            "telephone_number": "505-609-6349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "816 22nd Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688452226",
            "country_code": "US",
            "telephone_number": "308-865-2263",
            "fax_number": "308-865-2541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E San Antonio St Ste 303W",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779016002",
            "country_code": "US",
            "telephone_number": "361-572-5907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIYEOLA",
        "first_name": "ADEREMI",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "33409",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "MD2026-0227",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NE",
            "license": "36062",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "62199",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201308470",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100455730",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REMI",
            "last_name": "JAIYEOLA",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.