Individual provider Active NPI

Adebolanle Ayinde

  • Internal Medicine Physician
  • Longview, TX
National Provider Identifier
1639817653
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD29192 Issued in ME
Practice address
701 E Marshall Ave Ste 400
Longview, TX 75601-5595
Phone
(903) 315-1696
NPI assigned
May 20, 2022
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10080604 TX
Internal Medicine Physician 207R00000X MD29192 ME Primary

Addresses

Primary practice location

701 E Marshall Ave Ste 400
Longview, TX 75601-5595

Mailing address

701 E Marshall Ave Ste 400
Longview, TX 75601-5595
Phone (903) 315-1696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20250708001989 ME Practitioner - Internal Medicine 8022522556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of Maine LLCGroup PAC ID 1759621469, 34 clinicians
Maine Medical Services LLCGroup PAC ID 3375884216, 16 clinicians

Practice addresses (Care Compare)

50 Union St
Ellsworth, ME 04605-1534
Phone (888) 645-8829

897 W Main St
Northern Light Mayo SNF
Dover Foxcroft, ME 04426-1029
Phone (207) 564-8401

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10080604TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Services LLC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Hospital Medicine Services of Maine LLC CurrentSince Jul 1, 2025 Accepting new patients
Sebasticook Valley Health Past Accepting new patients

Locations

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

Organizations & group practices 3

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 4

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": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1639817653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E MARSHALL AVE STE 400",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015595",
            "telephone_number": "903-315-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E MARSHALL AVE STE 400",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015595",
            "telephone_number": "903-315-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYINDE",
        "first_name": "ADEBOLANLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10080604",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD29192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.