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MS. OPEYEMI AJIBADE M.D.
NPI 1386176915
Pediatrics - Pediatric Hematology-Oncology in Bronx, NY

Active since April 02, 2017PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 920-6614(718) 920-5289 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2026, Apr 2, 2017 (2 updates tracked since 2017).

About Ms. Opeyemi Ajibade M.d. NPPES

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

MS. OPEYEMI AJIBADE M.D. (NPI 1386176915) is an individual pediatric hematology-oncology provider in Bronx, New York, licensed in New York (306047) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1386176915
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameMS. OPEYEMI AJIBADECredential: M.D.
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401
Phone(718) 920-6614
Fax(718) 920-5289
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 2, 2017
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1386176915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in NY · 306047
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License 306047 (NY)
111 E 210TH ST, Bronx, NY 10467
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Opeyemi Ajibade M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648510958
PECOS Enrollment IDI20201006000946
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 Opeyemi Ajibade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
Same address
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

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.

DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Opeyemi Ajibade's NPI number?

The NPI number for Opeyemi Ajibade is 1386176915. It was assigned to this individual provider in the NPPES registry on April 2, 2017.

Where is Opeyemi Ajibade located?

Opeyemi Ajibade practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-6614.

What is Opeyemi Ajibade's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Opeyemi Ajibade enrolled in Medicare?

Yes. Opeyemi Ajibade is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Opeyemi Ajibade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Opeyemi Ajibade reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). 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 Opeyemi Ajibade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Opeyemi Ajibade affiliated with any hospitals?

According to CMS data, Opeyemi Ajibade is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Opeyemi Ajibade was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.