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DR. AJIBOLA BABATUNDE BAKARE MD/PHD
NPI 1629862636
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since April 07, 2025PECOS Enrolled
4301 W MARKHAM ST # 520, LITTLE ROCK, AR 72205(501) 686-5205(501) 686-5696 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2026, Apr 7, 2025 (2 updates tracked since 2025).

About Dr. Ajibola Babatunde Bakare Md/phd NPPES

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

DR. AJIBOLA BABATUNDE BAKARE MD/PHD (NPI 1629862636) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629862636
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. AJIBOLA BABATUNDE BAKARECredential: MD/PHD
Location Address4301 W MARKHAM ST # 520Little Rock, AR 72205-7101
Mailing Address4301 W Markham St # 520Little Rock, AR 72205-7101 · (501) 686-5205 · Fax (501) 686-5696
Phone(501) 686-5205
Fax(501) 686-5696
Sole ProprietorYes
Enumeration DateApril 7, 2025
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1629862636 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.
4301 W MARKHAM ST # 520, Little Rock, AR 72205
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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)

Dr. Ajibola Babatunde Bakare Md/phd 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.

SANDRA MINERVA GARCIA OSOGOBIO MD
Colon & Rectal Surgery
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
MISS MARINNA RAEF TADROS MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Pulaski County (501) 626-6627
MADELINE NACHTIGAL DO
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5205
LAUREN JOHNSON
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6912
ALEXANDRA GRACE OTWELL MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6627
DR. LEVI DANIEL WATSON MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6627
DR. GREGORY TYLER RIVES MD
Surgery
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
JOSEPH DELOACH
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6627

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 Ajibola Bakare's NPI number?

The NPI number for Ajibola Bakare is 1629862636. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Ajibola Bakare located?

Ajibola Bakare practices at 4301 W Markham St # 520, Little Rock, AR 72205. The listed phone number is (501) 686-5205.

What is Ajibola Bakare's specialty?

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

Is Ajibola Bakare enrolled in Medicare?

Yes. Ajibola Bakare is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ajibola Bakare was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.