Ajike Ogunsulire Etumadu, - Medicare Hospitalist in Charlotte, NC

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Ajike Ogunsulire Etumadu, is a medicare enrolled "Internal Medicine" physician in Charlotte, North Carolina. She graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Carolinas Physicians Network Inc, Novant Medical Group Inc, Prisma Health University Medical Group and her current practice location is 1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 355-0720.

Ajike Ogunsulire Etumadu is licensed to practice in North Carolina (license number 2011-01885) 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 1457316168.

Contact Information

Ajike Ogunsulire Etumadu,
1000 Blythe Blvd, Cmc Annex 1st Floor,
Charlotte, NC 28203-5812
(704) 355-0720
Not Available

Map and Direction




Physician's Profile

Full NameAjike Ogunsulire Etumadu
GenderFemale
SpecialityHospitalist
Experience36 Years
Location1000 Blythe Blvd, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ajike Ogunsulire Etumadu graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1457316168
  • Provider Enumeration Date: 04/18/2006
  • Last Update Date: 05/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3173538097
  • Enrollment ID: I20120525000172

Medical Identifiers

Medical identifiers for Ajike Ogunsulire Etumadu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457316168NPI-NPPES
NC1553MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 2011-01885 (North Carolina)Secondary
208M00000XHospitalist 51653 (South Carolina)Secondary
207R00000XInternal Medicine 2011-01885 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center-northeastConcord, NCHospital
Novant Health Matthews Medical CenterMatthews, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolinas Physicians Network Inc33754496551613
Novant Medical Group Inc11532348931996
Prisma Health University Medical Group83259509832201

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. Ajike Ogunsulire Etumadu allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477878890
PECOS PAC ID: 3375449655
Enrollment ID: O20031219000455
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306950282
PECOS PAC ID: 1153234893
Enrollment ID: O20040204001028
Entity NameInpatient Consultants Of North Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669422846
PECOS PAC ID: 5991720591
Enrollment ID: O20051012001172
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679528384
PECOS PAC ID: 1153234893
Enrollment ID: O20060828000304
Entity NameNh Digital Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427683044
PECOS PAC ID: 9537588934
Enrollment ID: O20201005002074

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. Ajike Ogunsulire Etumadu 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
Ajike Ogunsulire Etumadu,
1000 Blythe Blvd,
Charlotte, NC 28203-5812

Ph: () -		Ajike Ogunsulire Etumadu,
1000 Blythe Blvd, Cmc Annex 1st Floor,
Charlotte, NC 28203-5812

Ph: (704) 355-0720

Reviews and Comments


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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.