CMS-1500 Box 24J / 33a • NPI
1841571841
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2084P0800X (CMS 26)
Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)
Box 32 Service Location & ZIP+4
2160 S 1ST AVE, MAYWOOD, IL, 60153-3328
✓ 9-Digit EDI 837 ZIP+4 (60153-3328)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1841571841 (OMOTOLA KEHINDE AJIBADE) 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
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1841571841)
Medicare Beneficiaries
36
Total Billed Services
38
Distinct CPT/HCPCS Codes
3
Medicare Allowed Total
$5,799.30
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
90792 | Psychiatric diagnostic evaluation with medical services | 32 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1841571841 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | OMOTOLA KEHINDE AJIBADE |
| Plain-English Specialty | Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) NUCC Code: 2084P0800X (Psychiatry & Neurology, Psychiatry) |
| Certifying / Licensing Body | American Board of Psychiatry and Neurology (ABPN) |
| Practice Location Address | 2160 S 1ST AVE, MAYWOOD, IL, 60153-3328 |
| Practice Telephone / Fax | Tel: (708) 216-9000 |
| Administrative Mailing Address | 1055 HOWELL MILL RD NW FL 8, ATLANTA, GA, 30318-5557 |
| Enumeration & Last Sync | Enumerated: 2011-09-02 | CMS Record Updated: 2026-08-26 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2084P0800X)
What Does Taxonomy Code 2084P0800X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084P0800X translates to:
"Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (OMOTOLA KEHINDE AJIBADE)
Typical CPT / Diagnostic Procedures:- Comprehensive Psychiatric Diagnostic Evaluation (CPT 90792)
- Psychopharmacological Management & Supportive Psychotherapy
- Medication-Assisted Treatment (MAT) for Substance Use Disorders
- SSRIs & SNRIs (Sertraline, Escitalopram, Fluoxetine, Duloxetine)
- Bupropion, Mirtazapine & Atypical Antipsychotics (Aripiprazole, Quetiapine)
- Buprenorphine/Naloxone & Naltrexone (Addiction Recovery)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2084P0800X — Psychiatry & Neurology, PsychiatryPlain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) | State: IL | License: 036167010 | Primary: Yes (Primary) |
2084P0800X — Psychiatry & Neurology, PsychiatryPlain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) | State: NJ | License: 25MA11363300 | Primary: Secondary |
2084P0800X — Psychiatry & Neurology, PsychiatryPlain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) | State: GA | License: 94515 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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