FATIMA AYOTUNDE MD
NPI 1801475207
Student in an Organized Health Care Education/Training Program in Jamaica, NY

Active since April 05, 2021PECOS Enrolled
8268 164TH ST, JAMAICA, NY 11432(718) 883-4583 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 16, 2021, Apr 5, 2021 (2 updates tracked since 2021).

About Fatima Ayotunde Md NPPES

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

FATIMA AYOTUNDE MD (NPI 1801475207) is an individual student in an organized health care education/training program in Jamaica, New York and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Queens Hospital Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1801475207
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameFATIMA AYOTUNDECredential: MD
Location Address8268 164TH STJamaica, NY 11432-1104
Mailing Address8268 164th StJamaica, NY 11432-1104 · (718) 883-4583
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 5, 2021
Last NPPES UpdateApril 16, 20212 updates tracked since enumeration
NPPES CertifiedApril 16, 2021
✔ NPI 1801475207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
8268 164TH ST, Jamaica, NY 11432

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fatima Ayotunde Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456818004
PECOS Enrollment IDI20260804003014
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 Reassignment

Medicare enrollment records show Fatima Ayotunde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 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.

Hospital Affiliations CMS Care Compare

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

Queens Hospital Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330231
Location82-68 164th StreetJamaica, NY 11432 · Queens County
Emergency services Birthing friendly

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.

Pharmacist
8268 164TH ST
JAMAICA, NY 11432
Physician Assistant (Medical)
8268 164TH ST, ROOM A531
JAMAICA, NY 11432
Social Worker
8268 164TH ST
JAMAICA, NY 11432
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Psychiatry & Neurology (Child & Adolescent Psychiatry)
8268 164TH ST
JAMAICA, NY 11432
Physician Assistant
8268 164TH ST
JAMAICA, NY 11432
Psychologist (Clinical Child & Adolescent)
8268 164TH ST
JAMAICA, NY 11432

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 Fatima Ayotunde's NPI number?

The NPI number for Fatima Ayotunde is 1801475207. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Fatima Ayotunde located?

Fatima Ayotunde practices at 8268 164th St, Jamaica, NY 11432. The listed phone number is (718) 883-4583.

What is Fatima Ayotunde's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Fatima Ayotunde enrolled in Medicare?

Yes. Fatima Ayotunde is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fatima Ayotunde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fatima Ayotunde reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Fatima Ayotunde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Fatima Ayotunde affiliated with any hospitals?

According to CMS data, Fatima Ayotunde is affiliated with Queens Hospital Center.

When was this NPI record last updated?

The NPPES record for Fatima Ayotunde was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.