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SAMUEL OYEWOLE AJAYI MD
NPI 1346535218
Pediatrics - Neonatal-Perinatal Medicine in Fargo, ND

Active since June 18, 2011PECOS Enrolled
3000 32ND AVE S, FARGO, ND 58103(701) 364-8000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 28, 2017 (2 updates tracked since 2017).

About Samuel Oyewole Ajayi Md NPPES

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

SAMUEL OYEWOLE AJAYI MD (NPI 1346535218) is an individual neonatal-perinatal medicine provider in Fargo, North Dakota, licensed in North Dakota (PT14513) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346535218
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameSAMUEL OYEWOLE AJAYICredential: MD
Location Address3000 32ND AVE SFargo, ND 58103-6132
Mailing Address1702 University Dr S # SscFargo, ND 58103-4940 · (701) 364-8000
Phone(701) 364-8000
Sole ProprietorNo
Enumeration DateJune 18, 2011
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1346535218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in ND · PT14513
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT198709 (PA)
3000 32ND AVE S, Fargo, ND 58103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Oyewole Ajayi 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.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Ajayi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Medical Center
818 mi
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225

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

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.

ZENA KAY HOMAN M.D.
Obstetrics & Gynecology
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000
DR. ADAM JOHN DEFOE M.D.
Radiology (Diagnostic Radiology)
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000
LESLIE ANNE MYER OTR/L
Occupational Therapist
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000
ABDALLAH M MANSOUR MD
Internal Medicine (Cardiovascular Disease)
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8900
DR. JOAN L VIETS PHARM.D.
Pharmacist
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8140
ZACHARY JOSEPH ERNST M.D.
Surgery
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000
MR. NICHOLAS HENRY FREDERIKSEN APRN,CNP
Nurse Practitioner (Adult Health)
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000
MUHAMMAD WAQAS MD
Hospitalist
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000

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 Samuel Ajayi's NPI number?

The NPI number for Samuel Ajayi is 1346535218. It was assigned to this individual provider in the NPPES registry on June 18, 2011.

Where is Samuel Ajayi located?

Samuel Ajayi practices at 3000 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 364-8000.

What is Samuel Ajayi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Samuel Ajayi enrolled in Medicare?

Yes. Samuel Ajayi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Ajayi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Ajayi reassigns Medicare benefits to Children's Hospital Medical Center (Cincinnati, OH). The 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 Samuel Ajayi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Ajayi accept?

Health plans from Blue Cross and Blue Shield of Texas and CareSource list Samuel Ajayi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Ajayi was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.