Omowunmi Ajibola, MD in Salt Lake City, UT - Medicare Interventional Radiology

Omowunmi Ajibola, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Salt Lake City, Utah. She went to New York Medical College and graduated in 2015 and has 9 years of diverse experience with area of expertise as Interventional Radiology. She is a member of the group practice Golden State Imaging Associates Inc and her current practice location is 30 N 1900 E Rm 1a071, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 581-2868.

Omowunmi Ajibola is licensed to practice in Ohio (license number 35.141903) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699157396.

Contact Information

	Omowunmi Ajibola, MD
	30 N 1900 E Rm 1a071, Salt Lake City, UT 84132-0002
	(801) 581-2868
	Not Available

Map and Direction

Physician's Profile

Full Name	Omowunmi Ajibola
Gender	Female
Speciality	Interventional Radiology
Experience	9 Years
Location	30 N 1900 E Rm 1a071, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Omowunmi Ajibola attended and graduated from New York Medical College in 2015

NPI Data:

NPI Number: 1699157396
Provider Enumeration Date: 06/18/2015
Last Update Date: 10/28/2021

Medicare PECOS Information:

PECOS PAC ID: 4981028537
Enrollment ID: I20240517000039

Medical Identifiers

Medical identifiers for Omowunmi Ajibola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699157396	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	11741847-1205 (Utah)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	35.141903 (Ohio)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	35.141903 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lakewood Regional Medical Center	Lakewood, CA	Hospital
Fountain Valley Regional Hospital & Medical Center	Fountain valley, CA	Hospital
Desert Regional Medical Center	Palm springs, CA	Hospital
Hi-desert Medical Center	Joshua tree, CA	Hospital
John F Kennedy Memorial Hospital	Indio, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Golden State Imaging Associates Inc	1254761315	223

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Omowunmi Ajibola allows following entities to bill medicare on her behalf.

Entity Name	Golden State Imaging Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200414001788

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Omowunmi Ajibola is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Omowunmi Ajibola, MD 471 E Broad St Ste 1400, Columbus, OH 43215-3806 Ph: (614) 221-1399	Omowunmi Ajibola, MD 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132-0002 Ph: (801) 581-2868

Reviews and Comments

Radiology Doctors in Salt Lake City, UT

Dr. Romuald Ferre, Radiology Medicare: Not Enrolled in Medicare Practice Location: University Of Utah Department Of Radiology And Imaging, 30 North Mario Capecchi Drive 2 South, Salt Lake City, UT 84112 Phone: 801-633-7085
Dr. Vilija N Avizonis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3838 S 700 E, Suite 100, Salt Lake City, UT 84106 Phone: 801-281-6860 Fax: 801-281-4822
Karen Lisa Salzman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Hugh F. Harnsberger, MD Radiology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, 1a71, Salt Lake City, UT 84132 Phone: 801-581-7553
Dr. Jeffrey S Prince, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1900
Dr. Erika J. Schneble, DO, MA Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132 Phone: 801-581-2121
Dr. Brad Wright, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3321 S 3010 E, Salt Lake City, UT 84109 Phone: 802-310-2843

Omowunmi Ajibola, MD - Medicare Interventional Radiology in Salt Lake City, UT