Individual provider Active NPI

Ephraim Ayobanji Ayoola, M.D.

  • Internal Medicine Physician
  • Dover, DE
National Provider Identifier
1962463398
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A94231 Issued in CA
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

Updated by the provider on Jul 24, 2012

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 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

IdentifierTypeStateIssuer
1000041565MedicaidDE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PA 26 clinicians
Delaware Post Acute Medical Services 1 34 clinicians

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 Home health agency, Milford, DE, CCN 087039
  • Bayada Home Health Care at Bayhealth Home health agency, Dover, DE, CCN 087024
  • Delaware Hospice Central Div Hospice, Dover, DE, CCN 081502
  • Vitas Healthcare Corporation Atlantic Hospice, Newark, DE, CCN 081507
  • Compassionate Care Hospice of the Delmar Peninsula Hospice, Milford, DE, CCN 081509
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Westminster Village Health Nursing home, Dover, DE, CCN 085032
  • Center at Eden Hill, LLC Nursing home, Dover, DE, CCN 085057

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94231CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Post Acute Medical Services 1 CurrentSince Apr 7, 2019 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
De Pacs 2 PA CurrentSince Sep 23, 2020 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.