Kayode A Ojedele, MD
Individual provider Active NPI Internal Medicine Physician · Cambridge, OH
NPI 1871546929 · NPPES record last updated Dec 1, 2009
Key facts
- NPI
- 1871546929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35079950 (OH)
- Practice address
- 1515 Maple Dr
Cambridge, OH 43725-1162 - Phone
- (740) 439-3515
- Fax
- (740) 432-6427
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060621000000 | OH | Practitioner - Internal Medicine | 8123030806 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35079950 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Ohio Office of Budget and Management State Accounting | Current | Accepting new patients | |
| Medical Associates of Cambridge Inc. | Internal Medicine | Current |
Accepting new patients |
| Medical Home Primary Care Center | Current | Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Current |
Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Current |
Accepting new patients |
Locations
1515 Maple Dr
Cambridge, OH 43725
Phone (740) 439-3515
30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930
3000 Erie St S
Massillon, OH 44646
Phone (330) 833-3135
3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35079950 | OH | Yes |
Addresses
Primary practice location
1515 Maple Dr
Cambridge, OH 43725-1162
Mailing address
1515 Maple Dr
Cambridge, OH 43725-1162
Phone (740) 439-3515
Other providers in Cambridge, OH
- Joseph Patrick Ogle
- Oglethorpe of Cambridge,LLC
- Ohio CVS Stores LLC
- Ohio Retina Associates, Inc.
- Ohio Valley Educational Service Center
- Roberto Castillo Olayvar
- Judith Olden
- Crystal Oliver
- Lorraine A Oliver
- Jacob J Orahoske
All providers in Cambridge, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.