AYOOLA SAMUEL AWOFADEJU MD
NPI 1760423461
Emergency Medicine in Flossmoor, IL
About Ayoola Samuel Awofadeju Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AYOOLA SAMUEL AWOFADEJU MD (NPI 1760423461) is an individual emergency medicine provider in Flossmoor, Illinois, licensed in Illinois (036102150) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ayoola Samuel Awofadeju Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
8Medicare enrollment records show Ayoola Awofadeju reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Calumet City, IL 60409
- Reassigned Medicare billing, Illinois enrollment
- 84 clinicians in this Medicare group
Chicago, IL 60617
- Reassigned Medicare billing, Illinois enrollment
- 21 clinicians in this Medicare group
La Porte, IN 46350
- Reassigned Medicare billing, Indiana enrollment
- 101 clinicians in this Medicare group
Waukegan, IL 60085
- Reassigned Medicare billing, Illinois enrollment
- 91 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Emergency Professionals Of Indiana PC
- 404 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 309 clinicians in this Medicare group
Hillsboro, IL 62049
- Reassigned Medicare billing, Illinois enrollment
- 59 clinicians in this Medicare group
Alton, IL 62002
- Reassigned Medicare billing, Illinois enrollment
- 42 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60422 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ayoola Awofadeju's NPI number?
The NPI number for Ayoola Awofadeju is 1760423461. It was assigned to this individual provider in the NPPES registry on June 10, 2006.
Where is Ayoola Awofadeju located?
Ayoola Awofadeju practices at 3703 Ballantrae Way, Flossmoor, IL 60422. The listed phone number is (708) 955-6415.
What is Ayoola Awofadeju's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ayoola Awofadeju enrolled in Medicare?
Yes. Ayoola Awofadeju is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ayoola Awofadeju's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ayoola Awofadeju reassigns Medicare benefits to 8 organizations: Harvey Emergency Physicians, PLLC (Calumet City, IL), Heartland Emergency Physicians PLLC (Chicago, IL), North Indiana Emergency Physicians, LLP (La Porte, IN), App Of Illinois Ed PLLC (Waukegan, IL), Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN) and 3 more organizations, listed in the Medicare section above. 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 Ayoola Awofadeju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ayoola Awofadeju accept?
Health plans from CareSource list Ayoola Awofadeju 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.
When was this NPI record last updated?
The NPPES record for Ayoola Awofadeju was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ayoola Samuel Awofadeju, MD · NPI 1760423461
Emergency Medicine physician in Flossmoor, Illinois. Individual provider, active in the CMS NPPES registry since June 10, 2006.
## Identity
- **NPI:** 1760423461 (Entity type: Individual)
- **Enumerated:** June 10, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036102150 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3703 BALLANTRAE WAY, Flossmoor, IL 60422-4316
- **Phone:** (708) 955-6415
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Harvey Emergency Physicians, PLLC (NPI 1184281651, Calumet City, IL); Heartland Emergency Physicians PLLC (NPI 1346122983, Chicago, IL); North Indiana Emergency Physicians, LLP (NPI 1144691478, La Porte, IN); App Of Illinois Ed PLLC (NPI 1053860080, Waukegan, IL); Emergency Professionals Of Indiana, P.C. (NPI 1013951219, Fort Wayne, IN); and 3 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2026
- **Other identifiers:** Other P00163002; Medicaid 036102150 (IL); Medicaid 036102150-8 (IL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1760423461) · Data from the CMS NPPES public registry.