AHMED DAMILOLA AYANTAYO MD
NPI 1548012537
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Ahmed Ayantayo's NPI number?

The NPI number for Ahmed Ayantayo is 1548012537. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Q: What is Ahmed Ayantayo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ahmed Ayantayo was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 03, 2024PECOS Enrolled

19460 GRAND RIVER AVE, DETROIT, MI 48223(313) 387-1097 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 4, 2025, Apr 3, 2024 (2 updates tracked since 2024).

On this page

About Ahmed Damilola Ayantayo Md NPPES

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

AHMED DAMILOLA AYANTAYO MD (NPI 1548012537) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548012537

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameAHMED DAMILOLA AYANTAYOCredential: MD

Location Address19460 GRAND RIVER AVEDetroit, MI 48223-1200

Mailing Address19460 Grand River AveDetroit, MI 48223-1200 · (313) 899-8177 · Fax (313) 387-8795

Phone(313) 387-1097

Sole ProprietorNo

Enumeration DateApril 3, 2024

Last NPPES UpdateApril 4, 20252 updates tracked since enumeration

NPPES CertifiedApril 4, 2025

✔ NPI 1548012537 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.

19460 GRAND RIVER AVE, Detroit, MI 48223

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahmed Damilola Ayantayo 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.

ANATRUP INC.

Pharmacy (Community/Retail Pharmacy)