SAMUEL OLUKAYODE AYO MD
NPI 1215593637
Student in an Organized Health Care Education/Training Program in Rochester, NY

Q: What is Samuel Ayo's NPI number?

The NPI number for Samuel Ayo is 1215593637. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Q: What is Samuel Ayo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Ayo was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 10, 2019PECOS Enrolled

435 E HENRIETTA RD, ROCHESTER, NY 14620(585) 760-6353 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2023, May 10, 2019 (2 updates tracked since 2019).

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About Samuel Olukayode Ayo Md NPPES

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

SAMUEL OLUKAYODE AYO MD (NPI 1215593637) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215593637

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSAMUEL OLUKAYODE AYOCredential: MD

Location Address435 E HENRIETTA RDRochester, NY 14620-4684

Mailing Address601 Elmwood Ave # MchRochester, NY 14642-0001 · (585) 275-2222

Phone(585) 760-6353

Sole ProprietorNo

Enumeration DateMay 10, 2019

Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration

NPPES CertifiedJuly 12, 2023

✔ NPI 1215593637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

435 E HENRIETTA RD, Rochester, NY 14620

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Olukayode Ayo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

BONNIE GOLDSTEIN MSN

Nurse Practitioner (Adult Health)