Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Ayotunde Kofoworola Ayodele , MD

Pediatrics • Ceres, CA

Active NPI 1902887706 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1920 Memorial Dr
Ceres, CA 953071827

Call 2093837441 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1920 Memorial Dr

Ceres, CA 953071827

Telephone 2093837441
Organization at the Same NPPES Address or Phone
Stanislaus County Bhrs Facility NPI 1649303546

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Newberry, SC; Rock Hill, SC. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Howard University College Of Medicine

Graduation Year

1981

Industry payments (Open Payments)

Fewer than 11 payment records totaling $19.38 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

45 years (graduated 1981)

CMS Doctors and Clinicians data list 1981 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Ayodele has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Ayodele as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Ceres and California

6 active clinicians are listed under Pediatrics with a practice address in Ceres, CA (9,280 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $19.38.

Manufacturer Payment Nature Product Type Amount ($)
Cranial Technologies, Inc
Food and Beverage
Cash or cash equivalent
Doc Band General $19.38

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES CA 199147

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.

Specialist

NUCC Taxonomy Code: 174400000X

License # reported to NPPES SC SC 21581

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES SC 21581

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
GP2934 (SC)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20251217003639

Enrollment State Jurisdiction

CA

PECOS Control ID

5395268825

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2525 Kinard St

Newberry, SC 291082909

Phone: 8034050220

430 S Herlong Ave, Suite 104

Rock Hill, SC 297329446

Phone: 8039806610

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
Miriam Arana , PA

Physician Assistant - Medical

NPI 1144460130

Physician Assistant

Mayla Carlos , PA-C

Physician Assistant - Medical

NPI 1235417171

Physician Assistant (Certified)

Tu Anh Dao , FNP

Nurse Practitioner - Family

NPI 1710426218

Family Nurse Practitioner

Karen Kate Dimaano , FNP-C

Nurse Practitioner - Family

NPI 1508646829

Family Nurse Practitioner (Certified)

Auchaia Farley , PA-C

Physician Assistant

NPI 1558784512

Physician Assistant (Certified)

Dr. Wing Ip , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1629413554

Doctor of Podiatric Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Practice Location July 14, 2025

Registered at 1920 MEMORIAL DR, CERES, CA 953071827 (Tel: 2093837441)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2025

Pediatrics (license number reported to NPPES: CA 199147)

📍
Updated Practice Location April 02, 2025

Registered at 2525 KINARD ST, NEWBERRY, SC 291082909 (Tel: 8034050220)

âś…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 08, 2007

Registered at 430 S HERLONG AVE, SUITE 104, ROCK HILL, SC 297329446 (Tel: 8039806610)

📍
Business Mailing Address (Initial Record) July 08, 2007

Registered at 430 S HERLONG AVE, SUITE 104, ROCK HILL, SC 297329446 (Tel: 8039806610)

👤
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as AYOTUNDE AYODELE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (license number reported to NPPES: SC SC 21581)

🟢
Initial NPI Registration & Enumeration November 09, 2005

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1902887706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2005
Last Update: July 14, 2025
Sole Proprietor: No

Mailing Address

430 S Herlong Ave, Suite 104

Rock Hill, SC 297329446

Phone: 8039806610

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.