Active NPI
Ayokunle Fatade, D.O.
- Pain Medicine (Anesthesiology) Physician
- Martinsville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 0102201991
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0102201991 | VA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Family Medicine | Current | Accepting new patients | |
| Margaret Bowen MD PLLC | Past | 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.
-
- Clinic/Center
- Bassett, VA
- NPI 1598883738
-
- Pain Clinic/Center
- Boca Raton, FL
- NPI 1568359941
-
- Urgent Care Clinic/Center
- Hollywood, FL
- NPI 1144593724
-
- Internal Medicine Physician
- Newtown Square, PA
- NPI 1225067424
-
- General Practice Physician
- Reidsville, NC
- NPI 1265949788
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SOVAH Health Martinsville
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
-
dba SOVAH Health Danville
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
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
- Family Preservation Services, Inc
- Family Preservation Services, Inc
- Family Preservation Services, Inc
- Family YMCA, Inc.
- Alice F Farmer, PHD
- Carolyn Faulkner, LPC
- Favero Family Practice Incorporated (Martinsville Family Medicine)
- John Patrick Favero Jr., D.O.
- Bennett Ira Fein, MD
- Aleshia Monique Ferrell, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.