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OLUFISAYO ARUBUOLA M D P A
NPI 1710170113
Internal Medicine in Jacksonville, FL

Active since August 20, 2007
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 881-1242(904) 538-9433 Get Directions Write a Review

NPPES record last updated: January 9, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Olufisayo Arubuola M D P A NPPES

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

OLUFISAYO ARUBUOLA M D P A (NPI 1710170113) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since August 2007. The organization lists Olufisayo E Arubuola, President, as its authorized official.

NPPES Registry Identity

NPI1710170113
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOLUFISAYO ARUBUOLA M D P A
Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8202
Mailing AddressPo Box 16574Jacksonville, FL 32245-6574 · (904) 881-1242 · Fax (904) 538-9433
Phone(904) 881-1242
Fax(904) 538-9433
Organization SubpartNo
Authorized OfficialOlufisayo E ArubuolaPresident · (904) 881-1242
Enumeration DateAugust 20, 2007
Last NPPES UpdateJanuary 9, 2008
✔ NPI 1710170113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME87521
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
800 PRUDENTIAL DR, Jacksonville, FL 32207
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olufisayo Arubuola M D P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Olufisayo Arubuola M D P A, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Olufisayo Arubuola, MD
Internal Medicine
NPI 1255398806
800 PRUDENTIAL DR
Jacksonville, FL 32207
(904) 881-1242
✔ PECOS✔ Accepts MedicareSame address
Hale Hedley, MD
Emergency Medicine
NPI 1669406260
6817 SOUTHPOINT PKWY STE 1704 #1704
Jacksonville, FL 32216
(904) 222-8500
✔ PECOS✔ Accepts Medicare5.9 mi

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

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 Olufisayo Arubuola M D P A's NPI number?

The NPI number for Olufisayo Arubuola M D P A is 1710170113. It was assigned to this organization in the NPPES registry on August 20, 2007.

Where is Olufisayo Arubuola M D P A located?

Olufisayo Arubuola M D P A is located at 800 Prudential Dr, Jacksonville, FL 32207. The listed phone number is (904) 881-1242.

What is Olufisayo Arubuola M D P A's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Olufisayo Arubuola M D P A enrolled in Medicare?

Yes. Olufisayo Arubuola M D P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olufisayo Arubuola M D P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Olufisayo Arubuola M D P A, in Emergency Medicine and Internal Medicine. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Olufisayo Arubuola M D P A was last updated on January 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.