DR. TEQUILLA TAVOCKIOUS AYINLA MD
NPI 1639674062
Family Medicine in Hazleton, PA

Q: What is Tequilla Ayinla's NPI number?

The NPI number for Tequilla Ayinla is 1639674062. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Q: What is Tequilla Ayinla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tequilla Ayinla was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 March 27, 2018PECOS EnrolledAccepts Medicare Assignment

141 N VINE ST, HAZLETON, PA 18201(570) 454-0500 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2025, Nov 20, 2024, Sep 23, 2024 and 1 more (4 updates tracked since 2018).

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About Dr. Tequilla Tavockious Ayinla Md NPPES

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

DR. TEQUILLA TAVOCKIOUS AYINLA MD (NPI 1639674062) is an individual family medicine provider in Hazleton, Pennsylvania, licensed in Pennsylvania (MD474509) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital - Hazleton, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2017).

NPPES Registry Identity

NPI1639674062

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TEQUILLA TAVOCKIOUS AYINLACredential: MD

Location Address141 N VINE STHazleton, PA 18201-5852

Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622

Phone(570) 454-0500

Sole ProprietorYes

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2017

Enumeration DateMarch 27, 2018

Last NPPES UpdateNovember 24, 20254 updates tracked since enumeration

NPPES CertifiedNovember 24, 2025

✔ NPI 1639674062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD474509

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

141 N VINE ST, Hazleton, PA 18201

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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 and accepts Medicare assignment

Dr. Tequilla Tavockious Ayinla Md 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 ID446590350

PECOS Enrollment IDI20210807000055

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

145 services135 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

90 services86 patients

Hospital Affiliations CMS Care Compare 2

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

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number390185

Location700 East Broad StreetHazleton, PA 18201 · Luzerne County

Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18201 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Other Providers at the Same Location NPPES 7

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

NOELLE DOMINIQUE ALTAVILLA RD, LDN

Dietitian, Registered