AYODIPUPO OGUNTADE MD
NPI 1497545875
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Ayodipupo Oguntade's NPI number?

The NPI number for Ayodipupo Oguntade is 1497545875. It was assigned to this individual provider in the NPPES registry on May 9, 2025.

Q: What is Ayodipupo Oguntade's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 09, 2025PECOS Enrolled

111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2026, May 9, 2025 (2 updates tracked since 2025).

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About Ayodipupo Oguntade Md NPPES

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

AYODIPUPO OGUNTADE MD (NPI 1497545875) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1497545875

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameAYODIPUPO OGUNTADECredential: MD

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4321

Phone(718) 920-4321

Sole ProprietorNo

Enumeration DateMay 9, 2025

Last NPPES UpdateMarch 26, 20262 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1497545875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 E 210TH ST, Bronx, NY 10467

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Secondary Practice Location 1

Location 149 Jesse Hill Jr Dr SEAtlanta, GA 30303-3049 · Phone (404) 778-7777

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ayodipupo Oguntade 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 20

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

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

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)