Individual provider Active NPI

Richard Olutoyin Ajayi, MD

  • Psychiatry Physician
  • Weirton, WV
National Provider Identifier
1902875743
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20859 Issued in WV
Practice address
310 American Way Ste a
Weirton, WV 26062-4083
Phone
(304) 797-6410
Fax
(304) 797-6320
NPI assigned
Mar 15, 2006
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 20859 WV
Psychiatry Physician 2084P0800X 35.095675 OH
Psychiatry Physician 2084P0800X 20859 WV Primary

Addresses

Primary practice location

310 American Way Ste a
Weirton, WV 26062-4083

Mailing address

PO Box 6230
Wheeling, WV 26003-0722
Phone (304) 242-7106

Other identifiers 2

IdentifierTypeStateIssuer
3003312000MedicaidWV
2349908MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100112000220 WV Practitioner - Psychiatry 0042351124 Reassigns benefits to 3 organizations
I20110207000005 PA Practitioner - PsychiatryPractitioner - PodiatryPractitioner - Addiction MedicinePractitioner - NeuropsychiatryPractitioner - Sleep Medicine 0042351124 Reassigns benefits to 2 organizations
I20120828000654 OH Practitioner - Psychiatry 0042351124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity WestGroup PAC ID 5496648875, 145 clinicians
Washington Physician ServicesGroup PAC ID 6103719562, 106 clinicians
Clay-Battelle Health Services AssociationGroup PAC ID 3870495815, shared by 2 NPIs, 7 clinicians
Cognitive Medicine Practice PLLCGroup PAC ID 8527242759, 10 clinicians
Change IncorporatedGroup PAC ID 1759325327, 18 clinicians

Practice addresses (Care Compare)

107 Main St
Wintersville, OH 43953-3733
Phone (740) 264-1656

155 Wilson Ave
Washington, PA 15301-3336

1855 Hornet Hwy
Burton, WV 26562-7430
Phone (304) 775-4671

190 N Main St
Suite 204
Washington, PA 15301-4395
Phone (724) 225-9970

220 Greene PLZ
Rear
Waynesburg, PA 15370-8144
Phone (724) 627-2756

310 American Way
Suite a
Weirton, WV 26062-4083
Phone (304) 797-6518

3136 W St
Weirton, WV 26062-4637
Phone (304) 748-2828

3158 W St
Weirton, WV 26062-4637

95 Leonard Ave
Washington, PA 15301-3368

PO Box
Blacksville, WV 26521

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.095675OHMDPsychiatry Physician
20859WVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity West CurrentSince Dec 1, 2014 Accepting new patients
Trinity Hospital Holding Company CurrentSince Jan 1, 2022 Accepting new patients
Change, Incorporated CurrentSince Apr 14, 2011 Accepting new patients
Trinity Hospital Holding Company CurrentSince Jan 1, 2022 Accepting new patients
Weirton Pathology Associates Current Accepting new patients
Trinity West CurrentSince Dec 1, 2014 Accepting new patients
Washington Physician Services CurrentSince Jul 1, 2015 Accepting new patients
Clay-Battelle Health Services Association Current Accepting new patients
Clay-Battelle Health Services Association CurrentSince Mar 26, 2018 Accepting new patients
Clay-Battelle Health Services Association CurrentSince Mar 26, 2018 Accepting new patients
Navdeep S Purewal PLLC Psychiatry Past Accepting new patients
Upmc Washington Past Accepting new patients

Locations

2002 Sunset Blvd
Steubenville, OH 43952
Phone (740) 284-5712

380 Summit Ave
Steubenville, OH 43952
Phone (740) 283-7000

380 Summit Ave
Fl 2
Steubenville, OH 43952
Phone (740) 283-7882

420 N 4th St
Steubenville, OH 43952
Phone (740) 282-1651

107 Main St
Wintersville, OH 43953
Phone (740) 264-1656

200 Luray Dr
Wintersville, OH 43953
Phone (304) 748-2828

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

95 Leonard Ave
Ste 304
Washington, PA 15301
Phone (304) 797-6410

350 Bonar Ave
Waynesburg, PA 15370
Phone (724) 627-2606

1855 Hornet Hwy
Burton, WV 26562
Phone (304) 775-4671

3136 West St
Weirton, WV 26062
Phone (304) 748-2828

3158 West St
Weirton, WV 26062
Phone (304) 797-7733

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Interoperability endpoints

  • Direct secure messaging: richard.ajayi.1@12946.direct.athenahealth.com
  • Direct secure messaging: richard.ajayi@whc.eclinicaldirectplus.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1902875743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6230",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030722",
            "telephone_number": "304-242-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 AMERICAN WAY STE A",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624083",
            "telephone_number": "304-797-6410",
            "fax_number": "304-797-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "RICHARD",
        "middle_name": "OLUTOYIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "WV",
            "license": "20859",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.095675",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "20859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3003312000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2349908",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

Verify at the official NPI Registry.