MR. AYINDE T BOURNE D.O.
NPI 1649487893
Internal Medicine in Warren, MI
About Mr. Ayinde T Bourne D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. AYINDE T BOURNE D.O. (NPI 1649487893) is an individual internal medicine provider in Warren, Michigan, licensed in Michigan (5101016738) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Ayinde T Bourne D.o. 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.
Medicare Billing Reassignments
5Medicare enrollment records show Ayinde Bourne reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Belpre, OH 45714
- Reassigned Medicare billing, West Virginia enrollment
- 1,511 clinicians in this Medicare group
Fredericksburg, VA 22401
- Reassigned Medicare billing, Virginia enrollment
- 547 clinicians in this Medicare group
Fredericksburg, VA 22401
- Reassigned Medicare billing, Virginia enrollment
- 133 clinicians in this Medicare group
Richmond, VA 23226
- Reassigned Medicare billing, Virginia enrollment
- 134 clinicians in this Medicare group
Christiansted, St. Croix, VI 00821
- Reassigned Medicare billing, U.S. Virgin Islands enrollment
- 331 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mary Washington Hospital
Acute Care Hospitals · Fredericksburg, VAStafford Hospital, LLC
Acute Care Hospitals · Stafford, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WARREN, MI 48093
WARREN, MI 48093
WARREN, MI 48093
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 Ayinde Bourne's NPI number?
The NPI number for Ayinde Bourne is 1649487893. It was assigned to this individual provider in the NPPES registry on May 17, 2007.
Where is Ayinde Bourne located?
Ayinde Bourne practices at 11800 E 12 Mile Rd, Warren, MI 48093. The listed phone number is (586) 573-5383.
What is Ayinde Bourne's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ayinde Bourne enrolled in Medicare?
Yes. Ayinde Bourne 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 Ayinde Bourne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ayinde Bourne reassigns Medicare benefits to 5 organizations: Charleston Area Medical Center Inc (Belpre, OH), Mary Washington Healthcare Physicians (Fredericksburg, VA), Mary Washington Hospital, Inc. (Fredericksburg, VA), Sound Physicians Intensivists Of Virginia LLC (Richmond, VA) and Governor Juan F. Luis Hospital & Medical Center (Christiansted, St. Croix, VI). 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 Ayinde Bourne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ayinde Bourne affiliated with any hospitals?
According to CMS data, Ayinde Bourne is affiliated with Mary Washington Hospital and Stafford Hospital, LLC.
When was this NPI record last updated?
The NPPES record for Ayinde Bourne was last updated on March 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.
# Mr. Ayinde T Bourne, D.O. · NPI 1649487893
Internal Medicine physician in Warren, Michigan. Individual provider, active in the CMS NPPES registry since May 17, 2007.
## Identity
- **NPI:** 1649487893 (Entity type: Individual)
- **Enumerated:** May 17, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 5101016738 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11800 E 12 MILE RD, Warren, MI 48093-3472
- **Phone:** (586) 573-5383
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Charleston Area Medical Center Inc (NPI 1588422547, Belpre, OH); Mary Washington Healthcare Physicians (NPI 1295999852, Fredericksburg, VA); Mary Washington Hospital, Inc. (NPI 1013089879, Fredericksburg, VA); Sound Physicians Intensivists Of Virginia LLC (NPI 1619520806, Richmond, VA); Governor Juan F. Luis Hospital & Medical Center (NPI 1972503647, Christiansted, St. Croix, VI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** March 21, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1649487893) · Data from the CMS NPPES public registry.