OLUADE A. AJAYI MBBS NPI 1003898230

NPI Information

NPI: 1003898230
Provider Name: OLUADE A. AJAYI, MBBS
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

PECOS Registration: Yes

Address:
1200 SIXTH AVE NO
CENTRACARE CLINIC
ST CLOUD, MN
ZIP 56303
Phone: (320) 252-5731
Get Directions

Oluade A. Ajayi, MBBS is a neonatal-perinatal medicine pediatrics in St Cloud, MN. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Oluade A. Ajayi, MBBS NPI is 1003898230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1200 SIXTH AVE NO
CENTRACARE CLINIC
ST CLOUD, MN
ZIP 56303-735
Phone: (320) 252-5731

The NPI 1003898230 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2005 and was last updated on 3/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	45643	MINNESOTA	No
2	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	45643	MINNESOTA	No
3	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	036070002	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1908369	OTHER		ARAZ GROUP
2	458988200	OTHER		MEDICAL ASSISTANCE MA
3	370002755	MEDICARE PIN
4	4700129	OTHER		MEDICA HEALTH PLANS
5	COM	OTHER		GREAT WEST
6	COMP	OTHER		CHAMPUS
7	COMP	OTHER		ONE HEALTH PLAN
8	09 25 2003	OTHER		MMSI
9	1908369	OTHER		AMERICAS PPO
10	NE	OTHER		RR MEDICARE
11	171809	OTHER		U CARE
12	274R4AJ	OTHER		BLUE CROSS BLUE SHIELD
13	458988200	MEDICAID	MINNESOTA
14	214881	MEDICARE OSCAR/CERTIFICATION	ILLINOIS
15	1034801	OTHER		PREFERRED ONE
16	HP39081	OTHER		HEALTH PARTNERS
17	E28350	MEDICARE UPIN
18	2115953	OTHER		FIRST HEALTH PLAN
19	370002691	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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