Kingsley Azeez Ayoola

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

L8-0000207 Issued in DE

Practice address

11 Little Cir
Middletown, DE 19709

Phone

(302) 559-3226

NPI assigned

Jan 15, 2020

Last updated

Jun 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MD, DE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians

Sun Behavioral Delaware LLCGroup PAC ID 3072878867, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032

Merit-based Incentive Payment System (MIPS)

Final score

78.57 of 100Reported as group

Quality

59.34

Promoting interoperability

89

Improvement activities

40

Cost

75.04

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sun Behavioral Delaware, LLC

  dba SUN Behavioral Delaware

  • Psychiatric Hospital
  • Georgetown, DE
  • NPI 1891213179

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Union Hospital of Cecil County

  • Internal Medicine Physician
  • Elkton, MD
  • NPI 1124067848
  Medicare reassignment Care Compare group NPD
• Union Hospital of Cecil County

  dba Union Audiology Services

  • Audiologist
  • Elkton, MD
  • NPI 1851681647
  NPD

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

• Union Hospital of Cecil County

  • General Acute Care Hospital
  • Elkton, MD
  • NPI 1376523357
  Care Compare affiliation

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1720628910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LITTLE CIR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "19709",
            "telephone_number": "302-559-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LITTLE CIR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "19709",
            "telephone_number": "302-559-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOOLA",
        "first_name": "KINGSLEY",
        "middle_name": "AZEEZ",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0000207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Middletown",
            "affiliation": "N",
            "address_1": "11 Little Cir",
            "city": "Middletown",
            "state": "DE",
            "country_code": "US",
            "postal_code": "19709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Newark",
            "affiliation": "N",
            "address_1": "11 Little Cir",
            "city": "Middletown",
            "state": "DE",
            "country_code": "US",
            "postal_code": "19709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Atlas Chiropractor Middletown
• Jennifer Golda Atwood, PT
• Autism & Behavioral Health LLC
• Christin Avery
• Awake Labs US Corp (Awake Labs)
• Hilda Azefor, NP
• Jamie Bailey, MS, LPCMH, LCPC, NCC
• Latrina Annette Bailey, MSN, APRN, FNP-C
• Jacqueline Taylor Bajek
• Michael Brian Baker, R.PH.

• Psychiatric/Mental Health Nurse Practitioner in Middletown, DE
• Providers in Middletown, DE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.

Verify at the official NPI Registry.