Olufolarin Akanfe Ajao, M.D.

Key facts

NPI

1528059920

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

95-01167 (NC)

Practice address

2664 Court Drive
Suite a
Gastonia, NC 28054-1449

Phone

(704) 861-9030

Fax

(704) 833-1234

NPI assigned

Nov 3, 2005

Sex

Male

Sole proprietor

No

Organizations & group practices 2

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.

• Gaston Medical Associates, PA Internal Medicine Physician · Gastonia, NC · NPI 1366433773
  Medicare reassignment Care Compare group NPD Authorized official INTERNAL MEDICINE · NC
• Comprehab LLC Physical Therapist · Gastonia, NC · NPI 1407932775
  Care Compare group

Hospital & facility affiliations 6

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

• Adoration Home Health Care Virginia LLC Home Health Agency · Gastonia, NC · NPI 1134138142
  Care Compare affiliation Home health agency
• Atrium Health Hospitals Inc General Acute Care Hospital · Shelby, NC · NPI 1669348991
  Care Compare affiliation Hospital
• Bayada Home Health Care, Inc. Home Health Agency · Gastonia, NC · NPI 1063771046
  Care Compare affiliation Home health agency
• Emerald Care LLC Home Health Agency · Gastonia, NC · NPI 1154376028
  Care Compare affiliation Home health agency
• Gaston Memorial Hospital, Incorporated General Acute Care Hospital · Gastonia, NC · NPI 1013918960
  Care Compare affiliation Hospital
• Total Care Home Health of North Carolina, LLC Home Health Agency · Shelby, NC · NPI 1649203431
  Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty

Internal Medicine

Education

Columbia University College of Physicians and Surgeons, 1993

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Gaston Medical Associates PA (4 clinicians)
Comprehab, Inc (376 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency · Gastonia, NC · CCN 347131
• Centerwell Home Health Home health agency · Shelby, NC · CCN 347317
• Amedisys Home Health Care Home health agency · Gastonia, NC · CCN 347099
• Bayada Home Health Care Inc Home health agency · Gastonia, NC · CCN 347326
• Caromont Regional Medical Center Hospital · Gastonia, NC · CCN 340032
• Atrium Health Cleveland Hospital · Shelby, NC · CCN 340021

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAIEDD

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 17, 2010.

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1528059920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 COURT DRIVE",
            "address_2": "SUITE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541449",
            "telephone_number": "704-861-9030",
            "fax_number": "704-833-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 COURT DRIVE",
            "address_2": "SUITE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541449",
            "telephone_number": "704-861-9030",
            "fax_number": "704-833-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAO",
        "first_name": "OLUFOLARIN",
        "middle_name": "AKANFE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "95-01167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910992",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Gastonia, NC · Internal Medicine Physician in North Carolina