Individual provider Active NPI

Adebayo Olayinka Fayiga, MD

  • Emergency Medicine Physician
  • Palmetto Bay, FL
National Provider Identifier
1740258516
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME0040874 Issued in FL
Practice address
7645 SW 168TH St
Palmetto Bay, FL 33157-4891
Phone
(305) 255-0633
NPI assigned
Mar 9, 2006
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 ME0040874 FL Primary
Pain Medicine Physician 208VP0000X ME40874 FL

Addresses

Primary practice location

7645 SW 168TH St
Palmetto Bay, FL 33157-4891

Mailing address

7645 SW 168TH St
Palmetto Bay, FL 33157-4891
Phone (305) 255-0633

Other practice location 1

8300 SW 8th St Ste 303
Miami, FL 33144-4132
Phone (786) 717-5516

Other identifiers 3

IdentifierTypeStateIssuer
96952OtherFLBCBS
370566800MedicaidFL
P00298625OtherRR MCR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040602000353 FL Practitioner - Emergency Medicine 9436131778

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0040874FLMDEmergency Medicine Physician
ME40874FLMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Family Group LLC CurrentSince Feb 12, 2025 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Paragon Contracting Services LLC Emergency Medicine Past Accepting new patients
FL-I Medical Services, LLC Past Accepting new patients

Locations

1800 SW 27th Ave
Ste 200
Miami, FL 33145
Phone (305) 444-3715

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1740258516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7645 SW 168TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574891",
            "telephone_number": "305-255-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7645 SW 168TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574891",
            "telephone_number": "305-255-0633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 SW 8th St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331444132",
            "country_code": "US",
            "telephone_number": "786-717-5516",
            "fax_number": "786-717-5525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAYIGA",
        "first_name": "ADEBAYO",
        "middle_name": "OLAYINKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0040874",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME40874",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96952",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370566800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00298625",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.