Individual provider Active NPI

Abisola Ayodeji, MD

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1699083089
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
U8159 Issued in TX
Practice address
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Sep 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A136975 CA
Pediatric Anesthesiology Physician 207LP3000X U8159 TX
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X U8159 TX Primary

Addresses

Primary practice location

12222 Merit Dr Ste 600
Dallas, TX 75251-3294

Mailing address

PO Box 7334
Silver Spring, MD 20907-7334

Other practice location 1

George Washington University
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, TX, NY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180611000700 DC Practitioner - Anesthesiology 6002103090 Reassigns benefits to 10 organizations
I20210330002106 MD Practitioner - Anesthesiology 6002103090 Reassigns benefits to 6 organizations
I20240325002167 TX Practitioner - Anesthesiology 6002103090 Reassigns benefits to 1 organization
I20260408003324 NY Practitioner - Anesthesiology 6002103090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3870959638, 4 clinicians

Practice addresses (Care Compare)

2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-1000

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 552-8118

820 Bestgate Rd
Annapolis, MD 21401-3404
Phone (410) 224-2116

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136975CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Current Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jul 9, 2024 Accepting new patients
First Colonies Anesthesia Associates, LLC Anesthesiology CurrentSince Sep 20, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jan 22, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jun 1, 2018 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jan 22, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jan 22, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jan 22, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jan 22, 2021 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jul 9, 2024 Accepting new patients
Anesthesia Company, LLC Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jun 1, 2018 Accepting new patients
Medical Faculty Associates, Inc Anesthesiology CurrentSince Mar 14, 2022 Accepting new patients
Children'S Hospital CurrentSince Jan 14, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jan 22, 2021 Accepting new patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince Mar 15, 2024 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince Mar 15, 2024 Accepting new patients
Howard University Anesthesiology CurrentSince Nov 2, 2020 Accepting new patients
Children'S Hospital CurrentSince Jan 14, 2021 Accepting new patients

Locations (25 of 32)

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

2120 L St NW
Washington, DC 20037
Phone (202) 715-4600

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

820 Bestgate Rd
Annapolis, MD 21401
Phone (410) 224-4971

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600

10400 Little Patuxent Pkwy
Ste 240
Columbia, MD 21044
Phone (321) 422-7110

6816 Deerpath Rd
Elkridge, MD 21075
Phone (410) 757-5019

7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

17 Western Maryland Pkwy
Ste 102
Hagerstown, MD 21740
Phone (240) 420-0192

1701 Twin Springs Rd
Halethorpe, MD 21227
Phone (410) 737-5000

10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

1221 Mercantile Ln
Fl 3
Largo, MD 20774
Phone (301) 618-5500

655 Watkins Mill Rd
Montgomery Village, MD 20879
Phone (301) 929-7100

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

800 Prince Frederick Blvd
Prnc Frederck, MD 20678
Phone (410) 535-2270

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

2101 E Jefferson St
#4E
Rockville, MD 20852

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

Organizations & group practices 21

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 21

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": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1699083089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7334",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209077334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513294",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "George Washington University",
            "address_2": "900 23rd St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20037",
            "country_code": "US",
            "telephone_number": "202-715-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYODEJI",
        "first_name": "ABISOLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A136975",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "TX",
            "license": "U8159",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "U8159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.