Individual provider Active NPI

Oluwadamilola Susan Ajiboye, M.D

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1922367937
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME149647 Issued in FL
Practice address
60 E 3Rd St Ste 202
Hialeah, FL 33010-4973
Phone
(954) 552-4378
NPI assigned
May 10, 2012
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME149647 FL Primary

Addresses

Primary practice location

60 E 3Rd St Ste 202
Hialeah, FL 33010-4973

Mailing address

10231 Majestic TRL
Parkland, FL 33076-4800
Phone (561) 389-9973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 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
I20170919000437 TX Practitioner - Internal MedicinePractitioner - Sleep Medicine 9537458690 Reassigns benefits to 1 organization
I20210610001726 FL Practitioner - Internal Medicine 9537458690 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Feb 3, 2020 Accepting new patients
Healthtexas Provider Network CurrentSince Feb 3, 2020 Accepting new patients
Coral Springs Physician Services, LLC CurrentSince May 2, 2023 Accepting new patients
HHA Associates LLC CurrentSince Feb 22, 2022 Accepting new patients
Eastside Hospitalists Inc CurrentSince Jun 9, 2021 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
MJH Primary Group LLC Internal Medicine CurrentSince Nov 17, 2025 Accepting new patients

Locations

3476 S University Dr
Davie, FL 33328
Phone (954) 475-4350

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: oajiboye646997@direct.sw.org

Organizations & group practices 7

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": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1922367937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10231 MAJESTIC TRL",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764800",
            "telephone_number": "561-389-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E 3RD ST STE 202",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104973",
            "telephone_number": "954-552-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJIBOYE",
        "first_name": "OLUWADAMILOLA",
        "middle_name": "SUSAN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME149647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.