Olaitan Ajisafe, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

89907 Issued in GA

Practice address

121 Dekalb Ave
Brooklyn, NY 11201-5425

Phone

(718) 250-8369

Fax

(718) 250-6528

NPI assigned

Mar 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Emergency Medicine

Education

Morehouse School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chattooga River Physicians, LLCGroup PAC ID 8820443575, 19 clinicians

Etowah Emergency Physicians, LLCGroup PAC ID 1456635697, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chattooga River Physicians, LLC

  • Emergency Medicine Physician
  • Trion, GA
  • NPI 1184302473
  Medicare reassignment Care Compare group NPD
• Etowah Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Rome, GA
  • NPI 1962944900
  Medicare reassignment Care Compare group NPD
• Georgia Emergency Group, LLC

  • Emergency Medicine Physician
  • Griffin, GA
  • NPI 1952746638
  Medicare reassignment NPD
• Georgia Hospitalists Group, LLC

  • Hospitalist Physician
  • Riverdale, GA
  • NPI 1033576376
  Medicare reassignment NPD
• Etowah Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Cedartown, GA
  • NPI 1306388343
  NPD
• Georgia Hospitalists Group, LLC

  • Hospitalist Physician
  • Griffin, GA
  • NPI 1063859692
  NPD
• Georgia Hospitalists Group, LLC

  • Hospitalist Physician
  • Cedartown, GA
  • NPI 1477099588
  NPD

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

• Floyd Healthcare Management Inc

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1154377166
  Care Compare affiliation

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1952833923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-250-8369",
            "fax_number": "718-250-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-250-8369",
            "fax_number": "718-250-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJISAFE",
        "first_name": "OLAITAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "89907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temitope Ajibawo, MD
• Abiola Ajibola, OT
• Racheal Olufunke Ajiboye, RN
• Sussan Ajiboye, LPN
• Sandra Sewanu Ajimavo, NP
• Abdul Fatahi Ajiwokewu
• Katherine Ajiwokewu, LMSW
• Chamin Ajjan, LCSW, ACT
• Stephen Ira Ajl, MD
• Muhammad Tuqeer Ajmal

• Emergency Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.