DR. OLAOLUWA OLADIPO FAYANJU (MD, MS) – Family Medicine Physician, NPI 1114284411
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in OH
Provider Addresses for DR. OLAOLUWA OLADIPO FAYANJU (MD, MS)
16888 Harvard Ave
Cleveland, OH 441282208
Phone: (216) 810-7159
Fax: (216) 920-6286
Type: Location
6410 Broadway Ave
Cleveland, OH 441051253
Phone: (216) 303-7925
Fax: (216) 927-8147
Type: Location
1431 Wayne Ave
Dayton, OH 454101411
Phone: (937) 348-7001
Fax: (937) 949-6113
Type: Location
2429 Harrison Ave
Cincinnati, OH 452117915
Phone: (513) 452-7005
Type: Location
4271 W 3rd St
Dayton, OH 454171406
Phone: (937) 348-7001
Type: Location
30 W MONROE ST
STE 1200
CHICAGO, IL 606032420
Phone: (312) 733-9730
Fax: (773) 866-8014
Type: Mailing
10553 SAINT CLAIR AVE
CLEVELAND, OH 441081973
Phone: (216) 682-7702
Fax: (216) 920-6273
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-11-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150729007773 | I | Family Practice | IL | TBD |
| I20251111000500 | I | Family Practice | MD | TBD |
| I20251118001829 | I | Family Practice | MS | TBD |
| I20251126004228 | I | Family Practice | AL | TBD |
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.
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 44128)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IL | 90670 | Pneumococcal vaccine for injection into muscle | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Internal Medicine | NY | |
| Nurse Practitioner | TN | |
| Internal Medicine | MD | |
| Internal Medicine | MD |
Reviews
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