Active NPI
Ephraim Ayobanji Ayoola, M.D.
- Internal Medicine Physician
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A94231
- Practice address
- 200 Banning St
Suite #300
Dover, DE 19904-3485 - Phone
- (302) 741-0204
- Fax
- (302) 674-5874
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A94231 | CA | Primary |
Addresses
Primary practice location
200 Banning St
Suite #300
Dover, DE 19904-3485
Mailing address
200 Banning St
Suite 300
Dover, DE 19904-3485
Phone (302) 367-5808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000041565 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061019000401 | DE | Practitioner - Internal Medicine | 3274539994 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- De Pacs 2 PADelaware Post Acute Medical Services 1
Practice addresses (Care Compare)
1175 McKee Rd
Dover, DE 19904-2268
Phone (302) 744-3600
21 N State St
Dover, DE 19901-3802
Phone (302) 213-3747
300 Banning St
Dover, DE 19904-3457
Phone (302) 677-7100
810 S Broom St
Wilmington, DE 19805-4245
Phone (302) 652-1181
Hospital & facility affiliations
- Aveanna Home Healthcare
- Bayada Home Health Care at Bayhealth
- Delaware Hospice Central Div
- Vitas Healthcare Corporation Atlantic
- Compassionate Care Hospice of the Delmar Peninsula
- Bayhealth Medical Center, Kent Campus
- Westminster Village Health
- Center at Eden Hill, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.72 of 100
- Quality
- 72.97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94231 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Post Acute Medical Services 1 | Current | Accepting new patients | |
| CS Pacs 3 Northeast, LLC | Current | Accepting new patients | |
| De Pacs 2 PA | Current | Accepting new patients | |
| Alves Inpatient Services | Internal Medicine | Past | Accepting new patients |
| Bingen Inpatient Services | Internal Medicine | Past | Accepting new patients |
| Presbyterian Homes Inc. | Past | Accepting new patients |
Locations
1175 McKee Rd
Dover, DE 19904
Phone (302) 736-1549
640 S State St
Dover, DE 19901
Phone (302) 744-4700
300 Banning St
Dover, DE 19904
Phone (302) 677-7100
21 W Clarke Ave
Milford, DE 19963
Phone (302) 422-3311
3034 S DuPont Blvd
Smyrna, DE 19977
Phone (302) 376-6761
700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582
810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420
Organizations & group practices 6
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.
-
- Skilled Nursing Facility
- Dover, DE
- NPI 1306830625
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dover, DE
- NPI 1689100620
-
- Community Based Hospice Care Agency
- Milford, DE
- NPI 1528127859
Hospice
-
- Home Health Agency
- Milford, DE
- NPI 1487706263
-
- Community Based Hospice Care Agency
- Newark, DE
- NPI 1326181975
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1962463398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BANNING ST",
"address_2": "SUITE 300",
"city": "DOVER",
"state": "DE",
"postal_code": "199043485",
"telephone_number": "302-367-5808",
"fax_number": "302-526-4238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BANNING ST",
"address_2": "SUITE #300",
"city": "DOVER",
"state": "DE",
"postal_code": "199043485",
"telephone_number": "302-741-0204",
"fax_number": "302-674-5874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYOOLA",
"first_name": "EPHRAIM",
"middle_name": "AYOBANJI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A94231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000041565",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.