AJIKE OGUNSULIRE ETUMADU
NPI 1457316168
Internal Medicine in Charlotte, NC

Q: What is Ajike Etumadu's NPI number?

The NPI number for Ajike Etumadu is 1457316168. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Q: What is Ajike Etumadu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ajike Etumadu was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment

1000 BLYTHE BLVD, CMC ANNEX 1ST FLOOR, CHARLOTTE, NC 28203(704) 355-0720 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 10, 2023, Aug 30, 2022, May 16, 2022 and 10 more (13 updates tracked since 2017).

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About Ajike Ogunsulire Etumadu NPPES

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

AJIKE OGUNSULIRE ETUMADU (NPI 1457316168) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (2011-01885) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1457316168

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameAJIKE OGUNSULIRE ETUMADU

Location Address1000 BLYTHE BLVD, CMC ANNEX 1ST FLOORCharlotte, NC 28203-5812

Mailing Address1000 Blythe BlvdCharlotte, NC 28203-5812

Phone(704) 355-0720

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateApril 18, 2006

Last NPPES UpdateJuly 23, 202513 updates tracked since enumeration

NPPES CertifiedJuly 23, 2025

✔ NPI 1457316168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 2011-01885

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 2011-01885 (NC)

Also ListedHospitalistTaxonomy 208M00000X · License 2011-01885 (NC), 51653 (SC)

1000 BLYTHE BLVD, Charlotte, NC 28203

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Secondary Practice Location 1

Location 1701 Grove Rd Fl 5Greenville, SC 29605-4210 · Phone (864) 455-4411 · Fax (864) 455-4480

Other Identifiers 1

MedicaidNC1553SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

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

Ajike Ogunsulire Etumadu 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.

PECOS PAC ID3173538097

PECOS Enrollment IDI20120525000172

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 Reassignments

Medicare enrollment records show Ajike Etumadu reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc

Same address

Hospitalist

1000 BLYTHE BLVD
Charlotte, NC 28203

Reassigned Medicare billing, North Carolina enrollment
1,646 clinicians in this Medicare group

NPI 1306855846 (704) 355-0720

Novant Health Medical Group, LLC

0.3 mi

Plastic Surgery

1901 BRUNSWICK AVE, SUITE 200
Charlotte, NC 28207

Reassigned Medicare billing, North Carolina enrollment
Also billed through NPI 1114171634 (North Carolina), NPI 1891764320 (North Carolina)
2,998 clinicians in this Medicare group

NPI 1154765832 (704) 316-5025

Nh Digital Health Services, LLC

66 mi

Infectious Disease

2085 FRONTIS PLAZA BLVD
Winston Salem, NC 27103

Reassigned Medicare billing, North Carolina enrollment
164 clinicians in this Medicare group

NPI 1003737529 (336) 277-8770

Prisma Health University Medical Group

82 mi

Anesthesiology

5 RICHLAND MEDICAL PARK DR
Columbia, SC 29203

Reassigned Medicare billing, South Carolina enrollment
3,281 clinicians in this Medicare group

NPI 1679161483 (864) 522-8615

24 On Physicians, PC

113 mi

Hospitalist

800 N FANT ST
Anderson, SC 29621

Reassigned Medicare billing, South Carolina enrollment
146 clinicians in this Medicare group

NPI 1588613343 (800) 923-2247

Sound Physicians Of South Carolina, LLC

124 mi

Hospitalist

302 UNIVERSITY PKWY
Aiken, SC 29801

Reassigned Medicare billing, South Carolina enrollment
117 clinicians in this Medicare group

NPI 1922428358 (803) 641-5000

Hospital Physician Services - Southeast Professional Corporation

192 mi

Hospitalist

2151 W SPRING ST
Monroe, GA 30655

Reassigned Medicare billing, North Carolina enrollment
511 clinicians in this Medicare group

NPI 1760410385 (770) 267-8461

Cogent Healthcare Of Georgia PC

230 mi

Internal Medicine

400 CHARTER BLVD
Macon, GA 31210

Reassigned Medicare billing, South Carolina enrollment
268 clinicians in this Medicare group

NPI 1609827823 (478) 757-8200

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

210 services109 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

104 services70 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

47 services47 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340014

Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County

Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340171

Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County

Emergency services Birthing friendly

Novant Health Ballantyne Medical Center

Acute Care Hospitals · Charlotte, NC

OwnershipVoluntary non-profit - Private

CMS Certification Number340195

Location10905 Providence Road WCharlotte, NC 28277 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

72%25 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$12.44 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier15 claims15 services$53.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JENNIFER EGAN M.D.

Pathology (Clinical Pathology/Laboratory Medicine)