DR. AYODELE O ATOLAGBE M.D
NPI 1255686085
Student in an Organized Health Care Education/Training Program in Jamaica, NY
About Dr. Ayodele O Atolagbe M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AYODELE O ATOLAGBE M.D (NPI 1255686085) is an individual student in an organized health care education/training program in Jamaica, New York and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Ayodele O Atolagbe M.d 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ayodele Atolagbe reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11203
- Reassigned Medicare billing, New York enrollment
- 192 clinicians in this Medicare group
Brooklyn, NY 11210
- Reassigned Medicare billing, New York enrollment
- 279 clinicians in this Medicare group
Bronx, NY 10456
- Reassigned Medicare billing, New York enrollment
- 7 clinicians in this Medicare group
Tappan, NY 10983
- Reassigned Medicare billing, New York enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Ayodele Atolagbe's NPI number?
The NPI number for Ayodele Atolagbe is 1255686085. It was assigned to this individual provider in the NPPES registry on July 18, 2012.
Where is Ayodele Atolagbe located?
Ayodele Atolagbe practices at 14554 107th Ave, Jamaica, NY 11435. The listed phone number is (347) 503-9067.
What is Ayodele Atolagbe's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ayodele Atolagbe enrolled in Medicare?
Yes. Ayodele Atolagbe 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 Ayodele Atolagbe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ayodele Atolagbe reassigns Medicare benefits to 4 organizations: Kingsbrook Medical Associates, PC (Brooklyn, NY), Ahava Medical And Rehabilitation Center, LLC (Brooklyn, NY), Neighborhood Medical PC (Bronx, NY) and Integrated Wound Care New York Medical PLLC (Tappan, NY). 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 Ayodele Atolagbe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ayodele Atolagbe was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Ayodele O Atolagbe, M.D · NPI 1255686085
Student in an Organized Health Care Education/Training Program provider in Jamaica, New York. Individual provider, active in the CMS NPPES registry since July 18, 2012.
## Identity
- **NPI:** 1255686085 (Entity type: Individual)
- **Enumerated:** July 18, 2012
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 14554 107TH AVE, Jamaica, NY 11435-5240
- **Phone:** (347) 503-9067
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Kingsbrook Medical Associates, PC (NPI 1104112838, Brooklyn, NY); Ahava Medical And Rehabilitation Center, LLC (NPI 1184878274, Brooklyn, NY); Neighborhood Medical PC (NPI 1427654292, Bronx, NY); Integrated Wound Care New York Medical PLLC (NPI 1639649643, Tappan, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** June 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255686085) · Data from the CMS NPPES public registry.