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

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: November 01, 2026.

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

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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Tequilla Ayinla reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lehigh Valley Physician Group
Same address
Family Medicine
141 N VINE ST
Hazleton, PA 18201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1558125997 (570) 454-0500
Geisinger Clinic
1.8 mi
Family Medicine
20 DIANA LN
West Hazleton, PA 18202
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1902410673 (570) 790-2260
Caring Community Health Center
2.7 mi
Federally Qualified Health Center (FQHC)
426 AIRPORT RD
Hazle Township, PA 18202
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 88 clinicians in this Medicare group
NPI 1902459407 (570) 459-9730
Medexpress Urgent Care, PC - Pennsylvania
20 mi
Urgent Care
4 CLOVER DR
Saint Clair, PA 17970
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 214 clinicians in this Medicare group
NPI 1720545320 (570) 429-1012
Ucmg LLC
210 mi
Urgent Care
4655 WILLIAM FLYNN HWY STE 110
Allison Park, PA 15101
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 190 clinicians in this Medicare group
NPI 1972300622 (412) 486-3027

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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

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 8

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

NOELLE DOMINIQUE ALTAVILLA RD, LDN
Dietitian, Registered
141 N VINE ST
HAZLETON, PA 18201
Luzerne County (570) 501-6322
LAURA MONTO RD
Dietitian, Registered
141 N VINE ST
HAZLETON, PA 18201
Luzerne County (570) 454-0500
CARDIOLOGY ASSOCIATES OF GREATER HAZLETON PC
Internal Medicine (Cardiovascular Disease)
141 N VINE ST
HAZLETON, PA 18201
Luzerne County (570) 454-2467
LEHIGH VALLEY PHYSICIAN GROUP
Family Medicine
141 N VINE ST
HAZLETON, PA 18201
Luzerne County (570) 454-0500
CHRISTINE RITA WYSOCKY
Nurse Practitioner (Family)
141 N VINE ST
HAZLETON, PA 18201
Luzerne County (570) 454-0500
YALIXSA THEN FNP-BC
Nurse Practitioner (Family)
141 N VINE ST
HAZLETON, PA 18201
Luzerne County (570) 454-0500
THOMAS J CIOTOLA MD
Internal Medicine (Cardiovascular Disease)
141 N VINE ST
HAZLETON, PA 18201
Luzerne County (570) 454-2467
CHANDRA M MOHAN MD
Internal Medicine (Cardiovascular Disease)
141 N VINE ST
HAZLETON, PA 18201
Luzerne County (570) 454-2467

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 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.

Where is Tequilla Ayinla located?

Tequilla Ayinla practices at 141 N Vine St, Hazleton, PA 18201. The listed phone number is (570) 454-0500.

What is Tequilla Ayinla's specialty?

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

Is Tequilla Ayinla enrolled in Medicare?

Yes. Tequilla Ayinla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tequilla Ayinla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tequilla Ayinla reassigns Medicare benefits to 5 organizations: Lehigh Valley Physician Group (Hazleton, PA), Geisinger Clinic (West Hazleton, PA), Caring Community Health Center (Hazle Township, PA), Medexpress Urgent Care, PC - Pennsylvania (Saint Clair, PA) and Ucmg LLC (Allison Park, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tequilla Ayinla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tequilla Ayinla accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tequilla Ayinla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tequilla Ayinla affiliated with any hospitals?

According to CMS data, Tequilla Ayinla is affiliated with Lehigh Valley Hospital - Hazleton.

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 11 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.