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OLUWADAMILOLA A AJASA
NPI 1053284109
Nurse Anesthetist, Certified Registered in Crown Point, IN

Active since September 25, 2025PECOS EnrolledAccepts Medicare Assignment
12750 SAINT FRANCIS DR, CROWN POINT, IN 46307(219) 738-2100 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Oluwadamilola A Ajasa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLUWADAMILOLA A AJASA (NPI 1053284109) is an individual nurse anesthetist, certified registered in Crown Point, Indiana, licensed in Illinois (209.033888) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Adventist Hinsdale Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053284109
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameOLUWADAMILOLA A AJASA
Location Address12750 SAINT FRANCIS DRCrown Point, IN 46307-0264
Mailing Address17961 Semmler DrTinley Park, IL 60487-8655 · (708) 979-2759
Phone(219) 738-2100
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 25, 2025
Last NPPES UpdateNovember 7, 2025
NPPES CertifiedNovember 7, 2025
✔ NPI 1053284109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IL · 209.033888
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
12750 SAINT FRANCIS DR, Crown Point, IN 46307
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Oluwadamilola A Ajasa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496240566
PECOS Enrollment IDI20251217000865, I20260430001713
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Oluwadamilola Ajasa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northstar Anesthesia Of Illinois, LLC
802 mi
Anesthesiology
2000 E LAMAR BLVD STE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Illinois enrollment
  • 735 clinicians in this Medicare group
NPI 1962822395 (817) 583-7421
Northstar Anesthesia Of Indiana LLC
802 mi
Anesthesiology
2000 E LAMAR BLVD, SUITE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Indiana enrollment
  • 287 clinicians in this Medicare group
NPI 1043561541 (682) 227-6839

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AKASH SHAH MD
Hospitalist
12750 SAINT FRANCIS DR
CROWN POINT, IN 46307
Lake County (219) 852-1524
MORGAN KLEPINGER
Hospitalist
12750 SAINT FRANCIS DR
CROWN POINT, IN 46307
Lake County (219) 852-1524
SARAH PARKER DNP
Nurse Anesthetist, Certified Registered
12750 SAINT FRANCIS DR
CROWN POINT, IN 46307
Lake County (219) 738-2100
WENDY PAVICICH
Speech-Language Pathologist
12750 SAINT FRANCIS DR
CROWN POINT, IN 46307
Lake County (219) 738-2100
ANGELICA M. LACEFIELD MSN, APRN, NP-C
Family Medicine
12750 SAINT FRANCIS DR
CROWN POINT, IN 46307
Lake County (219) 738-2100
DR. MALLIKARJUN PATTA MD
Psychiatry & Neurology (Psychiatry)
12750 SAINT FRANCIS DR
CROWN POINT, IN 46307
Lake County (219) 852-1524
FRANCISCAN HEALTH CROWN POINT
Pharmacy (Community/Retail Pharmacy)
12750 SAINT FRANCIS DR
CROWN POINT, IN 46307
Lake County (219) 681-6814
MRS. JEINETTE JAVIER SAN JUAN NP
Nurse Practitioner (Family)
12750 SAINT FRANCIS DR
CROWN POINT, IN 46307
Lake County (219) 852-1524

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oluwadamilola Ajasa's NPI number?

The NPI number for Oluwadamilola Ajasa is 1053284109. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Where is Oluwadamilola Ajasa located?

Oluwadamilola Ajasa practices at 12750 Saint Francis Dr, Crown Point, IN 46307. The listed phone number is (219) 738-2100.

What is Oluwadamilola Ajasa's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Oluwadamilola Ajasa enrolled in Medicare?

Yes. Oluwadamilola Ajasa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Oluwadamilola Ajasa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oluwadamilola Ajasa reassigns Medicare benefits to 2 organizations: Northstar Anesthesia Of Illinois, LLC (Arlington, TX) and Northstar Anesthesia Of Indiana LLC (Arlington, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Oluwadamilola Ajasa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Oluwadamilola Ajasa affiliated with any hospitals?

According to CMS data, Oluwadamilola Ajasa is affiliated with Adventist Hinsdale Hospital and Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for Oluwadamilola Ajasa was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.