DR. KEHINDE S SHAQUILLE AJEDE (MD) – Anesthesiology Physician, NPI 1285129650

DR. KEHINDE S SHAQUILLE AJEDE (MD) is a healthcare provider. based in Midland, Michigan. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 036156394 (IL). The NPI Number for DR. KEHINDE S SHAQUILLE AJEDE (MD) is 1285129650

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEHINDE S SHAQUILLE AJEDE (MD)
NPI
1285129650
Phone
(989) 839-3000
Address
4000 Wellness Dr
Enumeration Date
27 June 2018
Last Update Date
23 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5805123684
Graduation Year
2005 (21 years ago)
PAC ID
9436408564
Group Practice PAC ID
4284130345
Professional Enrollment ID
I20221110002758
Address ID
IL606570084CH331XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:7State licenses:4Digital endpointsOther names

1,716 ANESTHESIOLOGY in MI

Provider Addresses for DR. KEHINDE S SHAQUILLE AJEDE (MD)

  • 4000 Wellness Dr

    Midland, MI 486701000

    Phone: (989) 839-3000

    Fax: (989) 839-3168

    Type: Location

  • 3249 Oak Park Ave

    Berwyn, IL 604023429

    Phone: (708) 783-9100

    Type: Location

  • Fantus Health Center, 1901, West Harrison Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    CHICAGO, IL 606123714

    Phone: (312) 864-6000

    Type: Mailing

  • 155 E Brush Hill Rd

    Elmhurst, IL 601265658

    Phone: (847) 570-2760

    Type: Location

  • 5841 S Maryland Ave

    Chicago, IL 606371443

    Phone: (888) 824-0200

    Type: Location

  • 4000 WELLNESS DR

    MIDLAND, MI 486701000

    Phone: (844) 832-1956

    Fax: (989) 633-5241

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Medtronic, Inc. ($33).

Total Amount

$66

General + Research + Ownership

Payments

3

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

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: 2022-11-10

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
I20221110002758IAnesthesiologyILTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope3939$0
00142Anesthesia for lens surgery2424$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2020$0
00910Anesthesia for other procedure on urinary system through urethra1414$0
00813Anesthesia for procedure on small and large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 48670)

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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: 4284130345View full group profile
NameSpecialtyState
Anesthesiology, Interventional Pain Management, Pain ManagementIL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IA
Anesthesiology, Interventional Pain Management, Pain ManagementIL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

What federal number belongs to DR. KEHINDE S SHAQUILLE AJEDE (MD)?
The federal identifier for DR. KEHINDE S SHAQUILLE AJEDE (MD) is NPI 1285129650.
Does this profile mean DR. KEHINDE S SHAQUILLE AJEDE (MD) is currently active?
Yes — DR. KEHINDE S SHAQUILLE AJEDE (MD) appears active in the national provider directory.
What does DR. KEHINDE S SHAQUILLE AJEDE (MD) treat or focus on?
Patients typically see DR. KEHINDE S SHAQUILLE AJEDE (MD) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KEHINDE S SHAQUILLE AJEDE (MD)?
The page summarizes Midland, Michigan for DR. KEHINDE S SHAQUILLE AJEDE (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.