Active NPI
Abisola O. Afolalu, MD
- Internal Medicine Physician
- Orange, CT
National Provider Identifier
1992847644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 044951
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001449512 | Medicaid | CT | |
| 044951 | Other | CT | STATE 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
- Opted out of Medicare
- Yes, effective Mar 20, 2025 through Mar 20, 2027
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.48 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 044951 | CT | MD | Internal 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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; Opt Out Affidavits.
- 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.