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

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: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, Sep 3, 2024, Aug 20, 2024 and 4 more (7 updates tracked since 2023).

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
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2015
Enumeration DateSeptember 2, 2011
Last NPPES UpdateAugust 26, 20267 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ 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

Secondary Practice Locations 3

Location 11005 Broadway StQuincy, IL 62301-2834 · Phone (217) 223-8400 · Fax (217) 224-9383
Location 21055 Howell Mill Rd NW Fl 8Atlanta, GA 30318-5557 · Phone (678) 470-1562
Location 3927 Broadway StQuincy, IL 62301-2719 · Phone (217) 224-4453 · Fax (217) 224-9383

Accepted Insurance

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. 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.

Medicare Billing Reassignments

11

Medicare enrollment records show Omotola Ajibade reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
2160 S 1ST AVE
Maywood, IL 60153
  • Reassigned Medicare billing, Illinois enrollment
  • 1,138 clinicians in this Medicare group
Urgent Care
20180 S LAGRANGE RD
Frankfort, IL 60423
  • Reassigned Medicare billing, Illinois enrollment
  • 148 clinicians in this Medicare group
Family Medicine
101 E MILLER RD
Sterling, IL 61081
  • Reassigned Medicare billing, Illinois enrollment
  • 356 clinicians in this Medicare group
Specialist
515 22ND AVE
Monroe, WI 53566
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
200 FRONT ST, SUITE 3D
Beaver Dam, WI 53916
  • Reassigned Medicare billing, Wisconsin enrollment
  • 606 clinicians in this Medicare group
Internal Medicine
707 14TH ST
Baraboo, WI 53913
  • Reassigned Medicare billing, Wisconsin enrollment
  • 57 clinicians in this Medicare group
Multi-Specialty
1005 BROADWAY ST
Quincy, IL 62301
  • Reassigned Medicare billing, Illinois enrollment
  • 363 clinicians in this Medicare group
Anesthesiology
400 N PLEASANT AVE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: St Marys Hospital Centralia Illinois
  • 392 clinicians in this Medicare group
Emergency Medicine
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 284 clinicians in this Medicare group
Emergency Medicine
300 1ST CAPITOL DR
Saint Charles, MO 63301
  • Reassigned Medicare billing, Missouri enrollment
  • 741 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

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.

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.

Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153

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 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.

Where is Omotola Ajibade located?

Omotola Ajibade practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 216-9000.

What is Omotola Ajibade's specialty?

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

Is Omotola Ajibade enrolled in Medicare?

Yes. Omotola Ajibade 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 Omotola Ajibade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omotola Ajibade reassigns Medicare benefits to 11 organizations: Loyola University Medical Center (Maywood, IL), Specialty Physicians Of Illinois, LLC (Frankfort, IL), Cgh Medical Center (Sterling, IL), The Monroe Clinic, Inc. (Monroe, WI), Agnesian Healthcare (Beaver Dam, WI) and 6 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 Omotola Ajibade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omotola Ajibade accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health, Oscar Health and UnitedHealthcare list Omotola Ajibade 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 Omotola Ajibade was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.