ENIOLA AYOOLA (P.A.) – Surgical Physician Assistant, NPI 1972786358

ENIOLA AYOOLA (P.A.) is a healthcare provider. based in The villages, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA9104349 (FL). The NPI Number for ENIOLA AYOOLA (P.A.) is 1972786358

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
ENIOLA AYOOLA (P.A.)
NPI
1972786358
Phone
(352) 775-4868
Address
910 Old Camp Rd Ste 200
Enumeration Date
9 December 2007
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3212599500
Graduation Year
2007 (19 years ago)
PAC ID
1355428194
Group Practice PAC ID
1951378694
Professional Enrollment ID
I20251216003371
Address ID
FL329402006ME6619XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ENIOLA AYOOLA (P.A.)

  • 910 Old Camp Rd Ste 200

    The Villages, FL 321625605

    Phone: (352) 775-4868

    Fax: (352) 775-4867

    Type: Location

  • 550 Pope Ave NW

    Suite 200

    Winter Haven, FL 338814679

    Phone: (863) 299-2630

    Fax: (863) 969-0711

    Type: Location

  • 18550 US Highway 441

    Mount Dora, FL 327576751

    Phone: (352) 735-3755

    Fax: (352) 735-3151

    Type: Location

  • 10250 SE 167TH PLACE RD UNIT 5

    SUMMERFIELD, FL 344918682

    Phone: (352) 307-9925

    Fax: (352) 307-8442

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $193.

Total Amount is formed as General ($193) + Research ($0) + Ownership ($0) = $193.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($95).

Total Amount

$193

General + Research + Ownership

Payments

5

Total payment records

General Amount

$193

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251216003371IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32162)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951378694View full group profile
NameSpecialtyState
-FL
Physician AssistantFL
Internal Medicine, Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
Family PracticeFL
Internal MedicineFL
Internal MedicineFL

Reviews

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Frequently asked questions

Where can patients find ENIOLA AYOOLA (P.A.)'s NPI?
You can confirm ENIOLA AYOOLA (P.A.) with NPI 1972786358; it appears in the national provider directory.
Does this profile mean ENIOLA AYOOLA (P.A.) is currently active?
Yes — ENIOLA AYOOLA (P.A.) appears active in the national provider directory.
Does ENIOLA AYOOLA (P.A.) list a primary specialty?
If you are matching referrals, note Surgical Physician Assistant for ENIOLA AYOOLA (P.A.). Clinical services aligned with this taxonomy classification.
What location metadata exists for ENIOLA AYOOLA (P.A.)?
The page summarizes The Villages, Florida for ENIOLA AYOOLA (P.A.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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