DR. AYOTUNDE KOFOWOROLA AYODELE M.D.
NPI 1902887706
Pediatrics in Ceres, CA

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
1920 MEMORIAL DR, CERES, CA 95307(209) 383-7441 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ayotunde Kofoworola Ayodele M.d. NPPES

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

DR. AYOTUNDE KOFOWOROLA AYODELE M.D. (NPI 1902887706) is an individual pediatrics provider in Ceres, California, licensed in California (199147) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Howard University College Of Medicine (1981).

NPPES Registry Identity

NPI1902887706
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. AYOTUNDE KOFOWOROLA AYODELECredential: M.D.
Location Address1920 MEMORIAL DRCeres, CA 95307-1827
Mailing Address430 S Herlong Ave, Suite 104Rock Hill, SC 29732-9446 · (803) 980-6610 · Fax (803) 980-6162
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1981
Enumeration DateNovember 9, 2005
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
NPI 1902887706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in CA · 199147 Licensed in SC · 21581
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedSpecialistTaxonomy 174400000X · License SC 21581 (SC)
1920 MEMORIAL DR, Ceres, CA 95307

Secondary Practice Locations 2

Location 12525 Kinard StNewberry, SC 29108-2909 · Phone (803) 405-0220 · Fax (803) 405-0222
Location 2430 S Herlong Ave, Suite 104Rock Hill, SC 29732-9446 · Phone (803) 980-6610 · Fax (803) 980-6162

Other Identifiers 1

MedicaidGP2934SC

Accepted 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

Dr. Ayotunde Kofoworola Ayodele M.d. 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 ID5395268825
PECOS Enrollment IDI20251217003639
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95307 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1920 MEMORIAL DR
CERES, CA 95307
Clinic/Center (Federally Qualified Health Center (FQHC))
1920 MEMORIAL DR
CERES, CA 95307
Dentist
1920 MEMORIAL DR
CERES, CA 95307
Community/Behavioral Health
1920 MEMORIAL DR
CERES, CA 95307
Nurse Practitioner (Family)
1920 MEMORIAL DR
CERES, CA 95307
Dentist (General Practice)
1920 MEMORIAL DR
CERES, CA 95307
Social Worker (Clinical)
1920 MEMORIAL DR
CERES, CA 95307
Pediatrics
1920 MEMORIAL DR
CERES, CA 95307

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 Ayotunde Ayodele's NPI number?

The NPI number for Ayotunde Ayodele is 1902887706. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Ayotunde Ayodele located?

Ayotunde Ayodele practices at 1920 Memorial Dr, Ceres, CA 95307. The listed phone number is (209) 383-7441.

What is Ayotunde Ayodele's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ayotunde Ayodele enrolled in Medicare?

Yes. Ayotunde Ayodele 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.

What insurance does Ayotunde Ayodele accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Ayotunde Ayodele 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 Ayotunde Ayodele was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.