Olaide Ifelola Ajayi, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

48841 Issued in TN

Practice address

776 Weatherly Dr
Suite a
Clarksville, TN 37043-8941

Phone

(931) 906-2004

Fax

(931) 906-2009

NPI assigned

Oct 17, 2007

Last updated

Jul 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Hematology/Oncology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suncrest Home Health Home health agency, Clarksville, TN, CCN 447298
• Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035
• Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065
• Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006

Merit-based Incentive Payment System (MIPS)

Final score

92.71 of 100Reported as group

Promoting interoperability

89

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tennessee Oncology PLLC

  • Hematology & Oncology Physician
  • Nashville, TN
  • NPI 1811955917
  Medicare reassignment Care Compare group NPD
• Upmc Western Maryland Health Services, LLC

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1134844764
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clarksville Health System, LLC

  dba Tennova Healthcare-Clarksville

  • General Acute Care Hospital
  • Clarksville, TN
  • NPI 1285689794
  Care Compare affiliation
• Clarksville Home Care Services LLC

  dba SunCrest Home Health

  • Home Health Agency
  • Clarksville, TN
  • NPI 1427003607
  Care Compare affiliation
• Hti Memorial Hospital Corporation

  dba Tristar Skyline Medical Center

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1295780476
  Care Compare affiliation
• Springfield Health Services, LLC

  dba NorthCrest Medical Center

  • General Acute Care Hospital
  • Springfield, TN
  • NPI 1093397184
  Care Compare affiliation

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1952590705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440100",
            "telephone_number": "931-906-2004",
            "fax_number": "931-906-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 WEATHERLY DR",
            "address_2": "SUITE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438941",
            "telephone_number": "931-906-2004",
            "fax_number": "931-906-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "OLAIDE",
        "middle_name": "IFELOLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-17",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0066606",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "48841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413550400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010307",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102101696-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "P00461544",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maqbool Ahmed, MD
• Adrienne Aikin, RBT
• Donatus Ailodion
• Aim Comprehensive Therapy LLC
• Air Evac EMS, Inc. (Air Evac Lifeteam)
• Tamer Samy Akoury, MD
• Mujtaba Alamiri, DDS
• Matthew Richard Aldred
• Blaire Alexander, APRN
• Phylicia Alexander, LMSW

• Hematology & Oncology Physician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Hematology & Oncology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.