Ayoola Samuel Awofadeju, MD - Medicare Internal Medicine in Flossmoor, IL

Ayoola Samuel Awofadeju, MD is a medicare enrolled "Emergency Medicine" physician in Flossmoor, Illinois. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Kyte River Emergency Physicians Llc and his current practice location is 3703 Ballantrae Way, Flossmoor, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 955-6415.

Ayoola Samuel Awofadeju is licensed to practice in Illinois (license number 036102150) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760423461.

Contact Information

Ayoola Samuel Awofadeju, MD
3703 Ballantrae Way,
Flossmoor, IL 60422-4316
(708) 955-6415
Not Available

Map and Direction




Physician's Profile

Full NameAyoola Samuel Awofadeju
GenderMale
SpecialityInternal Medicine
Experience34 Years
Location3703 Ballantrae Way, Flossmoor, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ayoola Samuel Awofadeju graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1760423461
  • Provider Enumeration Date: 06/10/2006
  • Last Update Date: 05/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870497290
  • Enrollment ID: I20031203000577

Medical Identifiers

Medical identifiers for Ayoola Samuel Awofadeju such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760423461NPI-NPPES
036102150-8MedicaidIL
P00163002OtherRAILROAD MEDICARE
036102150MedicaidIL
200800750MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 01063569A (Indiana)Secondary
207R00000XInternal Medicine 036102150 (Illinois)Secondary
207RH0003XInternal Medicine - Hematology & Oncology 036102150 (Illinois)Secondary
207P00000XEmergency Medicine 036102150 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwest Health - PorterValparaiso, INHospital
Mc Donough District HospitalMacomb, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kyte River Emergency Physicians Llc923437856313

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. Ayoola Samuel Awofadeju allows following entities to bill medicare on his behalf.
Entity NameChicago Central Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093162836
PECOS PAC ID: 3072415520
Enrollment ID: O20040123000979
Entity NameKyte River Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063751188
PECOS PAC ID: 9234378563
Enrollment ID: O20130618000528
Entity NameAlton-griffin Emergency Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891104824
PECOS PAC ID: 7315167103
Enrollment ID: O20140929002428
Entity NameApp Of Illinois Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053860080
PECOS PAC ID: 7517245384
Enrollment ID: O20161028001650
Entity NameHarvey Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184281651
PECOS PAC ID: 9436486560
Enrollment ID: O20190812001944

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. Ayoola Samuel Awofadeju 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 AddressPractice Location Address
Ayoola Samuel Awofadeju, MD
3703 Ballantrae Way,
Flossmoor, IL 60422-4316

Ph: (708) 955-6415
Ayoola Samuel Awofadeju, MD
3703 Ballantrae Way,
Flossmoor, IL 60422-4316

Ph: (708) 955-6415

Reviews and Comments


Emergency Medicine Doctors in Flossmoor, IL

Thomas Pawlowski, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19550 Governors Hwy Ste 2000, Flossmoor, IL 60422
Phone: 708-915-3100    Fax: 708-957-8602
Solmaz Rahmani, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19550 Governors Hwy Ste 3800, Flossmoor, IL 60422
Phone: 708-342-3000    Fax: 708-798-7072

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.