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AYOOLA WALEY OLAJIDE MD
NPI 1366920761
General Practice in St Augustine, FL

Active since July 30, 2018PECOS Enrolled
105 WHITEHALL DR, ST AUGUSTINE, FL 32086(904) 829-2782(904) 829-2494 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2024, Sep 30, 2020, Jul 30, 2018 (3 updates tracked since 2018).

About Ayoola Waley Olajide Md NPPES

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

AYOOLA WALEY OLAJIDE MD (NPI 1366920761) is an individual general practice provider in St Augustine, Florida, licensed in Puerto Rico (021031) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1366920761
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameAYOOLA WALEY OLAJIDECredential: MD
Location Address105 WHITEHALL DRSt Augustine, FL 32086-5269
Mailing Address1302 River StPalatka, FL 32177-5042 · (386) 328-0108 · Fax (386) 325-1086
Phone(904) 829-2782
Fax(904) 829-2494
Sole ProprietorYes
Enumeration DateJuly 30, 2018
Last NPPES UpdateJuly 11, 20243 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1366920761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 021031
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
105 WHITEHALL DR, St Augustine, FL 32086
Open in Google Maps ↗

Secondary Practice Locations 3

Location 15422 Bright RunSan Antonio, TX 78240-2458 · Phone (713) 397-0938
Location 2F5 Calle 1 Mansiones de San GermanSan German, PR 78240 · Phone (713) 397-0938
Location 31375 Cassat AveJacksonville, FL 32205-7084 · Phone (904) 388-2820 · Fax (904) 388-4014

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ayoola Waley Olajide 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 6

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

KAY LEWIS HOOD AGACNP-BC
Nurse Practitioner (Acute Care)
105 WHITEHALL DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 800-7246
MICHAEL JOSEPH MILANO
Nurse Practitioner (Family)
105 WHITEHALL DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-2782
NANCY A BOYD ARNP
Nurse Practitioner (Family)
105 WHITEHALL DR, SUITE 109-114
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-2782
DR. ERIC REIGEL PHARMD.
Pharmacist
105 WHITEHALL DR, SUITE 109
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 829-2782
RURAL HEALTH CARE, INCORPORATED
Pharmacy (Community/Retail Pharmacy)
105 WHITEHALL DR, SUITES 109-114
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-2530
RURAL HEALTH CARE, INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
105 WHITEHALL DR, SUITES 109-114
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-2782

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 Ayoola Olajide's NPI number?

The NPI number for Ayoola Olajide is 1366920761. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Where is Ayoola Olajide located?

Ayoola Olajide practices at 105 Whitehall Dr, St Augustine, FL 32086. The listed phone number is (904) 829-2782.

What is Ayoola Olajide's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ayoola Olajide enrolled in Medicare?

Yes. Ayoola Olajide is registered in the Medicare PECOS enrollment system.

What insurance does Ayoola Olajide accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Ayoola Olajide 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 Ayoola Olajide was last updated on July 11, 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.