MR. OMOTOLA KEHINDE AJIBADE
NPI 1841571841
Psychiatry & Neurology - Psychiatry in Maywood, IL

Q: What is Omotola Ajibade's NPI number?

The NPI number for Omotola Ajibade is 1841571841. It was assigned to this individual provider in the NPPES registry on September 2, 2011.

Q: What is Omotola Ajibade's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Omotola Ajibade was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since September 02, 2011PECOS EnrolledAccepts Medicare Assignment

2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-9000 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2024, Aug 20, 2024, Jun 3, 2024 and 3 more (6 updates tracked since 2023).

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About Mr. Omotola Kehinde Ajibade NPPES

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

MR. OMOTOLA KEHINDE AJIBADE (NPI 1841571841) is an individual psychiatry provider in Maywood, Illinois, licensed in Illinois (036167010) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Mercer University School Of Medicine (2015).

NPPES Registry Identity

NPI1841571841

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameMR. OMOTOLA KEHINDE AJIBADE

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address1055 Howell Mill Rd Nw Fl 8Atlanta, GA 30318-5557 · (678) 470-1562

Phone(708) 216-9000

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 2015

Enumeration DateSeptember 2, 2011

Last NPPES UpdateSeptember 3, 20246 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2024

✔ NPI 1841571841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in IL · 036167010✔ Licensed in NJ · 25MA11363300✔ Licensed in GA · 94515

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2160 S 1ST AVE, Maywood, IL 60153

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Secondary Practice Locations 3

Location 11005 Broadway StQuincy, IL 62301-2834 · Phone (217) 223-1200

Location 2927 Broadway StQuincy, IL 62301-2719 · Phone (217) 224-4453

Location 31055 Howell Mill Rd NW Fl 8Atlanta, GA 30318-5557 · Phone (678) 470-1562

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Omotola Kehinde Ajibade 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 ID4789049057

PECOS Enrollment IDI20230919000279, I20231020001584

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.

Areas of Expertise CMS Part B claims

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.

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

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