ALFRED OSAKPOLOR AIYANYOR, DO, MPH — NPI 1245790658 (Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) in JACKSON, TN)

CMS-1500 Box 24J / 33a • NPI

1245790658

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207RI0200X (CMS 11)

Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)

Box 32 Service Location & ZIP+4

8 MEDICAL CENTER DR, JACKSON, TN, 38301-3947

✓ 9-Digit EDI 837 ZIP+4 (38301-3947)

Practice Phone & Referral Fax

(405) 473-8049

Fax: (731) 660-8739

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1245790658 (ALFRED OSAKPOLOR AIYANYOR, DO, MPH) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1245790658` (NPI-1 Individual Practitioner)
Provider / Legal Name	ALFRED OSAKPOLOR AIYANYOR, DO, MPH
Plain-English Specialty	Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: `207RI0200X` (Internal Medicine, Infectious Disease)
Certifying / Licensing Body	American Board of Internal Medicine (ABIM)
Practice Location Address	8 MEDICAL CENTER DR, JACKSON, TN, 38301-3947
Practice Telephone / Fax	Tel: (405) 473-8049 \| Fax: (731) 660-8739
Administrative Mailing Address	JACKSON MADISON COUNTY GENERAL HOSPITAL, JACKSON, TN, 38305
Enumeration & Last Sync	Enumerated: 2019-03-21 \| CMS Record Updated: 2024-07-16

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

8 MEDICAL CENTER DR, JACKSON, TN, 38301-3947

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Plain-English Taxonomy & CMS Crosswalk (207RI0200X)

What Does Taxonomy Code 207RI0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RI0200X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 44 (Physician/Infectious Disease)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALFRED OSAKPOLOR AIYANYOR, DO, MPH)

Typical CPT / Diagnostic Procedures:

Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
Preoperative Medical Risk Assessment & Cardiac Clearance
Chronic Kidney, Hepatic & Metabolic Panel Interpretation
Adult Inpatient Hospitalist Management & Discharge Coordination

Common Therapeutic Classes:

Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`390200000X` — Student in an Organized Health Care Education/Training Program Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program	State: N/A \| License: `Verified` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: PA \| License: `OT019079` \| Primary: Secondary
`207RI0200X` — Internal Medicine, Infectious Disease Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: TN \| License: `5693` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALFRED OSAKPOLOR AIYANYOR, DO, MPH (NPI #1245790658)