Active NPI
Ayoola O Akinbamowo, MD
- Nephrology Physician
- Hanover, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD433854
- Practice address
- 1227 Baltimore St
Hanover, PA 17331-4406 - Phone
- (717) 339-2760
- Fax
- (717) 630-1120
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD433854 | PA | Primary |
Addresses
Primary practice location
1227 Baltimore St
Hanover, PA 17331-4406
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 339-2760
Other practice location 1
3130 Grandview Rd
Hanover, PA 17331-9134
Phone (717) 339-2760
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 933062 | Other | MD | CAREFIRST MD BCBS |
| 2058519 | Other | PA | HIGHMARK BLUE SHIELD |
| 210883 | Other | PA | JOHNS HOPKINS |
| 243645 | Other | PA | UNISON-WMG |
| 9374251 | Other | PA | AETNA |
| 50078661 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 1575953 | Other | PA | GATEWAY-WMG |
| 102151517 | Medicaid | PA | |
| 120279 | Other | PA | GEISINGER HEALTH PLAN |
| 20078633 | Other | PA | AMERIHEALTH MERCY-WMG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20080910000156 | PA | Practitioner - Nephrology | 7012083348 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 812-7559
147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 334-2121
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
- DaVita Hanover Dialysis
- DaVita Heritage Lake Dialysis
- Gettysburg Hospital
- Upmc Hanover
- Wellspan York Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204
3130 Grandview Rd
Hanover, PA 17331
Phone (717) 633-1433
43 S Columbus Ave
Ste 101
Littlestown, PA 17340
Phone (717) 339-2760
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
Interoperability endpoints
- aakinbamowo13875@wellspan.direct-ci.com
Organizations & group practices 4
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.
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Family Medicine Physician
- Chambersburg, PA
- NPI 1144035601
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Gettysburg, PA
- NPI 1467966127
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hanover, PA
- NPI 1174992838
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1992830509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-339-2760",
"fax_number": "717-359-9427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 BALTIMORE ST",
"city": "HANOVER",
"state": "PA",
"postal_code": "173314406",
"telephone_number": "717-339-2760",
"fax_number": "717-630-1120"
}
],
"practiceLocations": [
{
"address_1": "3130 Grandview Rd",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173319134",
"country_code": "US",
"telephone_number": "717-339-2760",
"fax_number": "717-630-1120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AKINBAMOWO",
"first_name": "AYOOLA",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD433854",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "933062",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "2058519",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "210883",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG",
"identifier": "243645",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9374251",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "50078661",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "1575953",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102151517",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "120279",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG",
"identifier": "20078633",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.