DR. OLAOLUWA OLADIPO FAYANJU MD, MS
NPI 1114284411
Family Medicine in Cleveland, OH

Q: What is Olaoluwa Fayanju's NPI number?

The NPI number for Olaoluwa Fayanju is 1114284411. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Q: What is Olaoluwa Fayanju's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Olaoluwa Fayanju was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since April 12, 2012PECOS EnrolledAccepts Medicare Assignment

10553 SAINT CLAIR AVE, CLEVELAND, OH 44108(216) 682-7702(216) 920-6273 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2020, Mar 11, 2020, Apr 3, 2019 and 1 more (4 updates tracked since 2018).

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About Dr. Olaoluwa Oladipo Fayanju Md, Ms NPPES

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

DR. OLAOLUWA OLADIPO FAYANJU MD, MS (NPI 1114284411) is an individual family medicine provider in Cleveland, Ohio, licensed in Ohio (35134072) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Tufts University School Of Medicine (2012).

NPPES Registry Identity

NPI1114284411

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. OLAOLUWA OLADIPO FAYANJUCredential: MD, MS

Location Address10553 SAINT CLAIR AVECleveland, OH 44108-1973

Mailing Address30 W Monroe St, Ste 1200Chicago, IL 60603-2420 · (312) 733-9730 · Fax (773) 866-8014

Phone(216) 682-7702

Fax(216) 920-6273

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 2012

Enumeration DateApril 12, 2012

Last NPPES UpdateMay 13, 20204 updates tracked since enumeration

NPPES CertifiedMay 13, 2020

✔ NPI 1114284411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OH · 35134072✔ Licensed in IL · 036138589

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10553 SAINT CLAIR AVE, Cleveland, OH 44108

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Secondary Practice Locations 5

Location 116888 Harvard AveCleveland, OH 44128-2208 · Phone (216) 810-7159 · Fax (216) 920-6286

Location 26410 Broadway AveCleveland, OH 44105-1253 · Phone (216) 303-7925 · Fax (216) 927-8147

Location 31431 Wayne AveDayton, OH 45410-1411 · Phone (937) 348-7001 · Fax (937) 949-6113

Location 42429 Harrison AveCincinnati, OH 45211-7915 · Phone (513) 452-7005

Location 54271 W 3rd StDayton, OH 45417-1406 · Phone (937) 348-7001

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Olaoluwa Oladipo Fayanju Md, Ms 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 ID6507170974

PECOS Enrollment IDI20251111000500

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44108 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

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 6

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

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