Individual provider Active NPI

Abisola O. Afolalu, MD

  • Internal Medicine Physician
  • Orange, CT
National Provider Identifier
1992847644
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044951 Issued in CT
Practice address
291 S Lambert Rd Ste 2
Orange, CT 06477-3559
Phone
(475) 308-1909
Fax
(203) 306-3144
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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 044951 CT Primary

Addresses

Primary practice location

291 S Lambert Rd Ste 2
Orange, CT 06477-3559

Mailing address

291 S Lambert Rd Ste 2
Orange, CT 06477-3559
Phone (475) 308-1909

Other identifiers 2

IdentifierTypeStateIssuer
001449512MedicaidCT
044951OtherCTSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 20, 2025 through Mar 20, 2027

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044951CTMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1992847644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 S LAMBERT RD STE 2",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773559",
            "telephone_number": "475-308-1909",
            "fax_number": "203-306-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 S LAMBERT RD STE 2",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773559",
            "telephone_number": "475-308-1909",
            "fax_number": "203-306-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFOLALU",
        "first_name": "ABISOLA",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "044951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001449512",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "044951",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

Verify at the official NPI Registry.