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AYODEJI DAVID JOHNSON M.D
NPI 1588455653
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since May 16, 2025PECOS Enrolled
11 NEVINS STREET, ST. ELIZABETH MEDICAL CENTER MEDICAL OFFICE BUILDING, 3, BOSTON, MA 02135(617) 789-2386 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ayodeji David Johnson M.d NPPES

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

AYODEJI DAVID JOHNSON M.D (NPI 1588455653) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588455653
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAYODEJI DAVID JOHNSONCredential: M.D
Location Address11 NEVINS STREET, ST. ELIZABETH MEDICAL CENTER MEDICAL OFFICE BUILDING, 3Boston, MA 02135
Mailing Address11 Nevins Street, St. Elizabeth Medical Center Medical Office Building, 3Boston, MA 02135 · (617) 789-2386
Phone(617) 789-2386
Sole ProprietorNo
Enumeration DateMay 16, 2025
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1588455653 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.
11 NEVINS STREET, Boston, MA 02135
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ayodeji David Johnson M.d 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 8

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

DR. AMY H PARMINDER MD
Ophthalmology
11 NEVINS STREET, STE 205
BRIGHTON, MA 02135
Suffolk County (617) 783-5050
JESYCA HERRERA
Nurse Practitioner (Acute Care)
11 NEVINS STREET, SUITE 306
BRIGHTON, MA 02135
Suffolk County (617) 789-2045
TETYANA NOVIKOVA NP
Nurse Practitioner
11 NEVINS STREET, SUITE 303 - UROLOGY
BRIGHTON, MA 02135
Suffolk County (617) 787-8181
DR. TINZAR BASEIN M.D
Internal Medicine (Infectious Disease)
11 NEVINS STREET, SUITE 202
BRIGHTON, MA 02135
Suffolk County (617) 779-6700
DAVID R. STASKIN MD
Urology
11 NEVINS STREET, SUITE 303
BRIGHTON, MA 02135
Suffolk County (617) 787-8181
DR. JAIRAM R ESWARA MD
Urology
11 NEVINS STREET, SUITE 303
BRIGHTON, MA 02135
Suffolk County (617) 787-8181
SYDNEY LORING HANFORD
Physician Assistant
11 NEVINS STREET, SUITE 306
BRIGNTON, MA 02135
Suffolk County (617) 789-2045
ELIF AKSOY M.D.
Student in an Organized Health Care Education/Training Program
11 NEVINS STREET, ST. ELIZABETH MEDICAL CENTER, MEDICAL OFFICE BUILDING,
BRIGHTON, MA 02135
Suffolk County (617) 789-2386

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 Ayodeji Johnson's NPI number?

The NPI number for Ayodeji Johnson is 1588455653. It was assigned to this individual provider in the NPPES registry on May 16, 2025.

Where is Ayodeji Johnson located?

Ayodeji Johnson practices at 11 Nevins Street St. Elizabeth Medical Center Medical Office Building, 3, Boston, MA 02135. The listed phone number is (617) 789-2386.

What is Ayodeji Johnson's specialty?

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

Is Ayodeji Johnson enrolled in Medicare?

Yes. Ayodeji Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ayodeji Johnson was last updated on February 10, 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.