AYOTUNDE AYOBELLO (M.D) – Child & Adolescent Psychiatry Physician, NPI 1700317575

AYOTUNDE AYOBELLO (M.D) is a healthcare provider. based in Roanoke, Virginia. specializing in Child & Adolescent Psychiatry Physician. They hold the professional credentials M.D. They hold a License No. 65593 (CT). The NPI Number for AYOTUNDE AYOBELLO (M.D) is 1700317575

Main info

Male
Sole Proprietor
Name
AYOTUNDE AYOBELLO (M.D)
NPI
1700317575
Phone
(917) 969-7446
Address
5400 BERNARD DR
Enumeration Date
23 March 2017
Last Update Date
10 May 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for AYOTUNDE AYOBELLO (M.D)

  • Bernard Drive, Ruxton, Cave Spring, Roanoke County, Virginia, 24018, United States

    APT 305B

    ROANOKE, VA 240180929

    Phone: (917) 969-7446

    Type: Mailing

  • 1906 Belleview Ave SE

    Carilion Roanoke Memorial Hospital

    Roanoke, VA 240141838

    Phone: (540) 981-7000

    Type: Location

  • 189 STORRS RD

    MANSFIELD CENTER, CT 062501683

    Phone: (917) 969-7446

    Type: Mailing

  • 1906, Belleview Avenue Southeast, Bellview Terrace, Roanoke, Roanoke (city), Virginia, 24014, United States

    CARILION ROANOKE MEMORIAL HOSPITAL

    ROANOKE, VA 240141838

    Phone: (540) 981-7000

    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: 2021-05-18

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
I20210518000971IPsychiatryCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24018)

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Reviews

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Frequently asked questions

Is AYOTUNDE AYOBELLO (M.D) listed with a National Provider Identifier?
Yes — AYOTUNDE AYOBELLO (M.D) has NPI 1700317575 on file in the registry.
Active or inactive — what applies to AYOTUNDE AYOBELLO (M.D)?
You should see AYOTUNDE AYOBELLO (M.D) as active in CMS-hosted NPPES data.
What area of care is associated with AYOTUNDE AYOBELLO (M.D)?
AYOTUNDE AYOBELLO (M.D)'s record emphasizes Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Virginia is AYOTUNDE AYOBELLO (M.D) registered?
Use Roanoke, Virginia as the headline location for AYOTUNDE AYOBELLO (M.D) here.
Does AYOTUNDE AYOBELLO (M.D) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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