Individual provider Active NPI

Ayokunle Fatade, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Martinsville, VA
National Provider Identifier
1518993120
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
0102201991 Issued in VA
Practice address
1 E Market St
Martinsville, VA 24112-3747
Phone
(276) 632-1856
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102201991 VA
Psychiatry Physician 2084P0800X 0102201991 VA
Pain Medicine (Anesthesiology) Physician 207LP2900X 0102201991 VA Primary

Addresses

Primary practice location

1 E Market St
Martinsville, VA 24112-3747

Mailing address

445 Commonwealth Blvd E Ste a
Martinsville, VA 24112-2087
Phone (276) 632-1856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070402000723 VA Practitioner - Family Practice 2365449923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1100 Spruce St
Martinsville, VA 24112-4509
Phone (276) 632-1872

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102201991VAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Family Medicine CurrentSince Jun 23, 2025 Accepting new patients
Margaret Bowen MD PLLC PastSince Dec 1, 2020 Accepting new patients
Dayclinic Inc. Past Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Past Accepting new patients

Locations

1599 NW 9th Ave
Ste 4
Boca Raton, FL 33486
Phone (561) 338-4134

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 2

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1518993120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 COMMONWEALTH BLVD E STE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122087",
            "telephone_number": "276-632-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E MARKET ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123747",
            "telephone_number": "276-632-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATADE",
        "first_name": "AYOKUNLE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-02-12",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102201991",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102201991",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0102201991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.