ADERONKE AJALA (MD) – Hematology & Oncology Physician, NPI 1689015042

ADERONKE AJALA (MD) is a healthcare provider. based in Williamsport, Pennsylvania. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. MD468171 (PA). The NPI Number for ADERONKE AJALA (MD) is 1689015042

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
ADERONKE AJALA (MD)
NPI
1689015042
Phone
(570) 326-8723
Address
1201 GRAMPIAN BLVD
Enumeration Date
15 July 2013
Last Update Date
12 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8142317800
Graduation Year
2008 (18 years ago)
PAC ID
8325347628
Group Practice PAC ID
7315181229
Professional Enrollment ID
I20191009000762
Address ID
PA168036709ST235XXWAYX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

784 HEMATOLOGY/ONCOLOGY in PA

Provider Addresses for ADERONKE AJALA (MD)

  • 1201 GRAMPIAN BLVD

    WILLIAMSPORT, PA 177011900

    Phone: (570) 326-8723

    Fax: (570) 326-8922

    Type: Mailing

  • 1100 GRAMPIAN BLVD

    WILLIAMSPORT, PA 177011909

    Phone: (570) 326-8470

    Fax: (570) 326-8590

    Type: Location

  • 155 WELLNESS WAY

    STATE COLLEGE, PA 168036797

    Phone: (814) 231-7800

    Fax: (814) 231-7295

    Type: Mailing

  • 235 WELLNESS WAY

    STATE COLLEGE, PA 168036709

    Phone: (814) 231-7800

    Fax: (814) 231-7098

    Type: Location

  • 1800 E Park Ave

    State College, PA 168036701

    Phone: (814) 231-7800

    Fax: (814) 231-7295

    Type: Location

  • 1800 E PARK AVE

    STATE COLLEGE, PA 168036701

    Phone: (814) 231-7800

    Fax: (814) 231-7295

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $355.

Total Amount is formed as General ($355) + Research ($0) + Ownership ($0) = $355.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($104).

Total Amount

$355

General + Research + Ownership

Payments

17

Total payment records

General Amount

$355

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

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: 2019-10-09

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
I20191009000762IHematology/OncologyPATBD

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
Q0138Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)20,91027$0
J9271Injection, pembrolizumab, 1 mg11,20016$0
J9267Injection, paclitaxel, 1 mg9,51015$0
J1453Injection, fosaprepitant, 1 mg9,30021$0
J1756Injection, iron sucrose, 1 mg7,80014$0
View full utilization report →

Insurance plans in this area (ZIP 17701)

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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: 7315181229View full group profile
NameSpecialtyState
Nurse PractitionerPA
H E M A T O L O G Y/ O N C O L O G YWI
-PA
Physician AssistantPA
Nurse PractitionerPA
-CT

Reviews

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Frequently asked questions

Is ADERONKE AJALA (MD) listed with a National Provider Identifier?
Yes — ADERONKE AJALA (MD) has NPI 1689015042 on file in the registry.
Is ADERONKE AJALA (MD) shown as active in public data?
Registry records indicate ADERONKE AJALA (MD) maintains an active NPI.
What clinical focus is listed for ADERONKE AJALA (MD)?
At a glance, ADERONKE AJALA (MD) is tied to Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Is ADERONKE AJALA (MD) associated with Williamsport?
Public fields place ADERONKE AJALA (MD) around Williamsport, Pennsylvania. Always confirm the exact site before visiting.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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