Individual provider Active NPI

Oluwatosin Ayotunde, MD

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1730718214
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
76490 Issued in AZ
Practice address
3033 N 44TH St Ste 100
Phoenix, AZ 85018-7227
Phone
(602) 631-3166
NPI assigned
Apr 6, 2020
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 76490 AZ
Interventional Pain Medicine Physician 208VP0014X 76490 AZ Primary

Addresses

Primary practice location

3033 N 44TH St Ste 100
Phoenix, AZ 85018-7227

Mailing address

3033 N 44TH St Ste 100
Phoenix, AZ 85018-7227
Phone (602) 631-3166

Other practice location 1

125 S Kalamazoo Mall Ste 204
Kalamazoo, MI 49007-4869
Phone (269) 343-3900

Other practice location 2

100 Michigan St NE # Mc49
Grand Rapids, MI 49503-2560
Phone (616) 391-3674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20221025000362 MI Practitioner - Emergency Medicine 8123442621 Reassigns benefits to 1 organization
I20250805003125 AZ Practitioner - Interventional Pain ManagementPractitioner - Emergency Medicine 8123442621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Emergency Medicine
Education
University of Arizona College of Medicine - Phoenix, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

40601 N Gantzel Rd
Suite 103
San Tan Valley, AZ 85140-7036
Phone (480) 964-2908

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
79.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Michigan Emergency Services, PC CurrentSince Jul 1, 2023 Accepting new patients
Orthopedic Specialists of North America, PLLC Interventional Pain Medicine Current Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Jul 21, 2025 Accepting new patients
Orthopedic Specialists of North America, PLLC Interventional Pain Medicine CurrentSince Jul 21, 2025 Accepting new patients

Locations

10450 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 846-1746

2902 W Agua Fria Fwy
Ste 1090
Phoenix, AZ 85027
Phone (620) 648-5444

3033 N 44th St
Ste 100
Phoenix, AZ 85018
Phone (602) 631-3161

33300 N 32nd Ave
Ste 320
Phoenix, AZ 85085

9327 N 3rd St
Phoenix, AZ 85020

9327 N 3rd St
Ste 300
Phoenix, AZ 85020
Phone (602) 631-3166

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

125 S Kalamazoo Mall
Ste 204
Kalamazoo, MI 49007
Phone (269) 343-3900

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

408 Hazen St
Paw Paw, MI 49079
Phone (269) 341-8481

Interoperability endpoints

  • Direct secure messaging: oayotunde983884@direct.hfhs.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1730718214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N 44TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187227",
            "telephone_number": "602-631-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 N 44TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187227",
            "telephone_number": "602-631-3166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S Kalamazoo Mall Ste 204",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490074869",
            "country_code": "US",
            "telephone_number": "269-343-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Michigan St NE # Mc49",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032560",
            "country_code": "US",
            "telephone_number": "616-391-3674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYOTUNDE",
        "first_name": "OLUWATOSIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "76490",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "76490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.