Individual provider Active NPI

John Olakunle Mabayoje, MD

  • Family Medicine Physician
  • New Castle, IN
National Provider Identifier
1679586648
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01062480A Issued in IN
Practice address
1000 N 16TH St
New Castle, IN 47362-4319
Phone
(317) 338-2172
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01062480A IN Primary

Addresses

Primary practice location

1000 N 16TH St
New Castle, IN 47362-4319

Mailing address

8840 Commerce Park PL Ste E
Indianapolis, IN 46268-3129

Other identifiers 1

IdentifierTypeStateIssuer
200830910MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20170809000950 AL Practitioner - Internal Medicine 3274635826 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Primary Health Center, Inc Family Medicine CurrentSince Jun 4, 2018 Accepting new patients
Franklin Primary Health Center, Inc Family Medicine CurrentSince Jun 4, 2018 Accepting new patients
Sycamore Physicians LLC CurrentSince Jul 3, 2023 Accepting new patients
American Family Care, LLC CurrentSince Nov 22, 2019 Accepting new patients
Geneva County Healthcare Authority, Inc. CurrentSince Dec 20, 2023 Accepting new patients
Sycamore Lakeland LLC CurrentSince Apr 1, 2024 Accepting new patients
Franklin Primary Health Center Inc. Family Medicine Current Accepting new patients
Vaughan Physician Practices LLC CurrentSince Jun 27, 2017 Accepting new patients
Geneva County Healthcare Authority, Inc. CurrentSince Dec 20, 2023 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Nov 22, 2019 Accepting new patients
Vaughan Physician Practices LLC CurrentSince Jun 27, 2017 Accepting new patients
Vaughan Physician Practices, LLC Current Accepting new patients
Central Indiana Physician Alliance, LLC Family Medicine Past Accepting new patients
Rosebud Indian Health Service Past Accepting new patients
Midwest Medical Management, P.C. Past Accepting new patients
Nes Indiana, Inc. Past Accepting new patients
Geneva County Healthcare Authority Inc Past Accepting new patients
Vaughan Physician Practices LLC Past Accepting new patients
Indiana Emergency Professionals PC Past Accepting new patients

Locations

1200 W Maple Ave
Geneva, AL 36340
Phone (334) 684-3655

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

5410 Highway 280
Ste 100
Hoover, AL 35242
Phone (205) 201-7290

1680 Montgomery Hwy
Hoover, AL 35216
Phone (205) 979-0888

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646

702 N Main St
Opp, AL 36467
Phone (334) 493-2342

1023 Medical Center Pkwy
Ste 401
Selma, AL 36701
Phone (334) 875-7173

1023 Medical Center Pkwy
Ste 305
Selma, AL 36701
Phone (334) 801-9952

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19364/brand/1/csg/21/fhir/r4
  • Direct secure messaging: jmabayoje0@yourcarecommunity.org

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1679586648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 COMMERCE PARK PL STE E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N 16TH ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624319",
            "telephone_number": "317-338-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABAYOJE",
        "first_name": "JOHN",
        "middle_name": "OLAKUNLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01062480A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200830910",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

Verify at the official NPI Registry.