AYOTUNDE B FADAYOMI MD
NPI 1033671854
Anesthesiology - Pain Medicine in Cape Girardeau, MO

NPI Status: Active since April 01, 2019

Contact Information

211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 331-5329
Fax: (573) 331-5085

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  • Individual
  • Male
  • Years of Experience 15
  • Anesthesiology
  • Pain Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About AYOTUNDE FADAYOMI

This page provides the complete NPI Profile along with additional information for Ayotunde Fadayomi, a provider established in Cape Girardeau, Missouri with a medical specialization in Anesthesiology, focusing in pain medicine and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1033671854 assigned on April 2019. The practitioner's primary taxonomy code is 207LP2900X with license number 2024036733 (MO). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1033671854
Provider Name
AYOTUNDE B FADAYOMI MD
Gender
Male
Entity Type
Individual
Location Address
211 SAINT FRANCIS DR CAPE GIRARDEAU, MO 63703
Location Phone
(573) 331-5329
Location Fax
(573) 331-5085
Mailing Address
PO BOX 801143 KANSAS CITY, MO 64180
Mailing Phone
(573) 331-5583
Mailing Fax
(573) 331-5085
Medical School Name
OTHER
Graduation Year
2011
Is Sole Proprietor?
No
Enumeration Date
04-01-2019
Last Update Date
10-16-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
License No.
2024036733
License State
MO
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

35.148520 (OH)
2207LP2900XAllopathic & Osteopathic Physicians

Anesthesiology
Pain Medicine

35.148520 (OH)

Medicare Participation & PECOS Enrollment Status

Ayotunde Fadayomi is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Ayotunde Fadayomi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5395071617

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240903002912, I20241001000517

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ayotunde Fadayomi is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SAINT FRANCIS MEDICAL CENTER211 ST FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-3000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033671854
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20631272810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 2 + 7 + 2 + 8 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1033671854 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629052063MEDICAL SPECIALISTS OF SOUTHEAST MISSOURI, PC
Organization
General Acute Care Hospital211 SAINT FRANCIS DR ATTN INFECTIOUS DISEASE DEPT
CAPE GIRARDEAU, MO 63703
(573) 331-3000
1750344313 BETTY JENNELL BACH C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-3000
1487617577 MICHELLE ELAINE PROPST C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-3000
1063475143 BILLY HAROLD GARNER C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-3000
1134182215 GARY ALLEN HARLAN C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-3000
1386607471 GARY SCOTT ROTH C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-3000
1457316358DR. GERALD C HALONEN MD
Individual
Emergency Medicine211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-3000
1053362079 JERRY KINDER MD
Individual
Surgery211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-5330
1427077072 KEVIN WAYNE CALLAHAN C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-3000
1982624698SAINT FRANCIS MEDICAL CENTER
Organization
Durable Medical Equipment & Medical Supplies211 SAINT FRANCIS DR HOME MEDICAL EQUIPMENT
CAPE GIRARDEAU, MO 63703
(573) 331-5977
1982627048 JOHN FRANCIS RIGDON M.D.
Individual
Anesthesiology211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-3000
1538278403 LYNETTE M QUIST-CALLAHAN C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-5114
1700967429ANTHONY ZOFFUTO
Organization
Specialist211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-5330
1366510992 IM S HONG MD
Individual
Physical Medicine & Rehabilitation211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-5329
1841313327MRS. CYNTHIA JO ETHRIDGE M.P.T.
Individual
Physical Therapist211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-5153
1992917785 HEIDI HUNTER MD
Individual
Physical Medicine & Rehabilitation211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-6620
1720294572MRS. KATHY L WALLACE RNFA
Individual
Registered Nurse (Registered Nurse First Assistant)211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-5150
1598933152 M MARIE CORZINE MSN, RNC, NNP
Individual
Nurse Practitioner (Neonatal)211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-3000
1124278353VEENA SRINIVAS LLC
Organization
Radiology (Radiation Oncology)211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 334-2230
1477835338MR. BRENT MICHAEL ESSNER OTR/L
Individual
Occupational Therapist211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 225-7264

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033671854, enumerated in the NPI registry as an "individual" on April 01, 2019

The provider is located at 211 Saint Francis Dr Cape Girardeau, Mo 63703 and the phone number is (573) 331-5329

The provider's speciality is Anesthesiology with taxonomy code 207LP2900X with a focus in Pain Medicine

The provider has more than 15 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): SAINT FRANCIS MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 01, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.