DR. OLUFEMI TAIWO OLADELE-AJOSE (MD) – Internal Medicine Physician, NPI 1205808318

DR. OLUFEMI TAIWO OLADELE-AJOSE (MD) is a healthcare provider. based in Nacogdoches, Texas. specializing in INTERNAL MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. N9394 (TX). The NPI Number for DR. OLUFEMI TAIWO OLADELE-AJOSE (MD) is 1205808318

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. OLUFEMI TAIWO OLADELE-AJOSE (MD)
NPI
1205808318
Phone
(319) 850-0874
Address
347 COUNTY ROAD 8341
Enumeration Date
2 February 2006
Last Update Date
9 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9368997242
Graduation Year
1990 (36 years ago)
PAC ID
9537153259
Group Practice PAC ID
8729474259
Professional Enrollment ID
I20120430000280
Address ID
TX759016243LU2109XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for DR. OLUFEMI TAIWO OLADELE-AJOSE (MD)

  • 347, County Road 8341, Nacogdoches County, Texas, 75964, United States

    NACOGDOCHES, TX 759643304

    Phone: (319) 850-0874

    Type: Mailing

  • 2111, East Denman Avenue, Lufkin, Angelina County, Texas, 75901, United States

    LUFKIN, TX 759016243

    Phone: (936) 244-0659

    Fax: (936) 899-7243

    Type: Location

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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-10-11 • Largest payer in this snapshot: Janssen Biotech, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$19
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: 2012-04-30

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
I20120430000280IInternal MedicineTXTBD

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
99204New patient office or other outpatient visit, 45-59 minutes3636$0
99214Established patient office or other outpatient visit, 30-39 minutes2212$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1817$0
View full utilization report →

Insurance plans in this area (ZIP 75964)

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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: 8729474259View full group profile
NameSpecialtyState
Family PracticeTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. OLUFEMI TAIWO OLADELE-AJOSE (MD)?
NPI 1205808318 is assigned to DR. OLUFEMI TAIWO OLADELE-AJOSE (MD) under the national enumeration system.
Does this profile mean DR. OLUFEMI TAIWO OLADELE-AJOSE (MD) is currently active?
Yes — DR. OLUFEMI TAIWO OLADELE-AJOSE (MD) appears active in the national provider directory.
What kind of provider is DR. OLUFEMI TAIWO OLADELE-AJOSE (MD)?
The page reflects Internal Medicine Physician for DR. OLUFEMI TAIWO OLADELE-AJOSE (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. OLUFEMI TAIWO OLADELE-AJOSE (MD)?
We surface Nacogdoches, Texas for DR. OLUFEMI TAIWO OLADELE-AJOSE (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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