ADEBOWALE I AJAYI (MD) – Internal Medicine Physician, NPI 1104877984

ADEBOWALE I AJAYI (MD) is a healthcare provider. based in Berwyn heights, Maryland. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. D045217 (MD). The NPI Number for ADEBOWALE I AJAYI (MD) is 1104877984

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
ADEBOWALE I AJAYI (MD)
NPI
1104877984
Phone
(301) 313-9013
Address
6201 GREENBELT RD
Enumeration Date
15 May 2006
Last Update Date
19 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3013139013
Graduation Year
1983 (43 years ago)
PAC ID
3173517885
Group Practice PAC ID
5597080457
Professional Enrollment ID
I20051201000770
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ADEBOWALE I AJAYI (MD)

  • 6201, Greenbelt Road, Berwyn Heights, Prince George's County, Maryland, 20740, United States

    SUITE M-18

    BERWYN HEIGHTS, MD 207402354

    Phone: (301) 313-9013

    Fax: (301) 313-9015

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Lilly USA, LLC ($105).

Total Amount

$105

General + Research + Ownership

Payments

1

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$105
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: 2005-12-01

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
I20051201000770IInternal MedicineDCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes17479$0
99214Established patient office or other outpatient visit, 30-39 minutes16487$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7272$0
G0008Administration of influenza virus vaccine4646$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage4040$0
View full utilization report →

Insurance plans in this area (ZIP 20740)

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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: 5597080457View full group profile
NameSpecialtyState
-MD

Reviews

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Frequently asked questions

What is the standard ID for ADEBOWALE I AJAYI (MD) in the U.S.?
In the U.S., ADEBOWALE I AJAYI (MD) is identified by NPI 1104877984.
Should I treat ADEBOWALE I AJAYI (MD) as an active provider?
Patients and plans typically see ADEBOWALE I AJAYI (MD) as active in the national extract.
What services align with ADEBOWALE I AJAYI (MD)'s listing?
ADEBOWALE I AJAYI (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ADEBOWALE I AJAYI (MD)?
ADEBOWALE I AJAYI (MD) shows a connection to Berwyn Heights, Maryland in registry-derived data.
Why is information missing for ADEBOWALE I AJAYI (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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