AYOOLA SAMUEL AWOFADEJU (MD) – Emergency Medicine Physician, NPI 1760423461

AYOOLA SAMUEL AWOFADEJU (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 27155 (NV). The NPI Number for AYOOLA SAMUEL AWOFADEJU (MD) is 1760423461

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
AYOOLA SAMUEL AWOFADEJU (MD)
NPI
1760423461
Phone
(702) 260-1261
Address
7040 S Durango Dr Ste 105
Enumeration Date
10 June 2006
Last Update Date
4 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604253000
Graduation Year
1990 (36 years ago)
PAC ID
3870497290
Group Practice PAC ID
2961835400
Professional Enrollment ID
I20071116000470
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for AYOOLA SAMUEL AWOFADEJU (MD)

  • 7040 S Durango Dr Ste 105

    Las Vegas, NV 891132198

    Phone: (702) 260-1261

    Fax: (702) 260-1669

    Type: Location

  • 3703, Ballantrae Way, Flossmoor, Rich Township, Cook County, Illinois, 60422, United States

    FLOSSMOOR, IL 604224316

    Phone: (778) 708-4660

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $103.

Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.

Last reported payment date: 2024-02-05 • Largest payer in this snapshot: ABBVIE INC. ($103).

Total Amount

$103

General + Research + Ownership

Payments

4

Total payment records

General Amount

$103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$103
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: 2007-11-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20031203000577IInternal MedicineILTBD
I20071116000470IEmergency MedicineINTBD

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
99285Emergency department visit with high level of medical decision making180168$0
99284Emergency department visit with moderate level of medical decision making174161$0
99291Critical care, first 30-74 minutes8077$0
99283Emergency department visit with low level of medical decision making4747$0
View full utilization report →

Insurance plans in this area (ZIP 89113)

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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: 2961835400View full group profile

Reviews

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Frequently asked questions

Is AYOOLA SAMUEL AWOFADEJU (MD) listed with a National Provider Identifier?
Yes — AYOOLA SAMUEL AWOFADEJU (MD) has NPI 1760423461 on file in the registry.
Is AYOOLA SAMUEL AWOFADEJU (MD) shown as active in public data?
Registry records indicate AYOOLA SAMUEL AWOFADEJU (MD) maintains an active NPI.
What expertise is attributed to AYOOLA SAMUEL AWOFADEJU (MD)?
AYOOLA SAMUEL AWOFADEJU (MD)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is AYOOLA SAMUEL AWOFADEJU (MD) associated with Las Vegas?
Public fields place AYOOLA SAMUEL AWOFADEJU (MD) around Las Vegas, Nevada. Always confirm the exact site before visiting.
Does AYOOLA SAMUEL AWOFADEJU (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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