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Active NPI 1043366131 Individual Practitioner Male Practitioner

Dr. Ayodeji B Otegbeye , MD

Pediatrics • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Dr. Ayodeji Otegbeye, MD is a registered healthcare professional specializing in Pediatrics in Orlando, FL. Practice services are available at 5900 S JOHN YOUNG PKWY under active NPI credentials.

Frequently performed procedures and clinical services include intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose, intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose, adm sarscov2 100mcg/0.5ml2nd. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5900 S John Young Pkwy

Orlando, FL 328393716

Telephone 4073986470
Fax 4078946872
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.8 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
354 Specialists

Practicing in Orlando, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
2.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose
99 99 $40.00 $39.52
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose
80 79 $39.16 $38.76
0012A Adm sarscov2 100mcg/0.5ml2nd
15 15 $40.00 $38.88
0011A Adm sarscov2 100mcg/0.5ml1st
12 12 $40.00 $38.88

Medical Specialties & State Licenses

CMS Verified: 2020-06-11
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME58278

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Critical Care Medicine

NUCC Taxonomy Code: 2080P0203X

State License FL ME0058278

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
063905200 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
NPI 1073510608

Doctor of Medicine (M.D.)

Dr. Adamantia Mammas , MD

Emergency Medicine - Pediatric Emergency Medicine

NPI 1093822629

Doctor of Medicine (M.D.)

NPI 1124069299

Doctor of Medicine (M.D.)

NPI 1144422080

Doctor of Medicine (M.D.)

NPI 1184818932

Doctor of Medicine (M.D.)

Nira Patel

Pediatrics

NPI 1205132735

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2020

Pediatrics (License #ME0058278 in FL)

NPI Profile Active March 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2017

Registered at 5900 S JOHN YOUNG PKWY, ORLANDO, FL 328393716 (Tel: 4073986470)

📍
Updated Business Mailing Address March 22, 2017

Registered at 5900 S JOHN YOUNG PKWY, ORLANDO, FL 328393716 (Tel: 4073986470)

👤
Provider Name / Credentials Updated March 22, 2017

Recorded as AYODEJI OTEGBEYE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2017

Pediatrics (License #ME0058278 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2017

Pediatrics (License #ME58278 in FL)

NPI Profile Active April 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2016

Registered at 844 N THORNTON AVE, ORLANDO, FL 328034003 (Tel: 4073986470)

📍
Updated Business Mailing Address April 11, 2016

Registered at 844 N THORNTON AVE, ORLANDO, FL 32803 (Tel: 4073986470)

👤
Provider Name / Credentials Updated April 11, 2016

Recorded as AYODEJI OTEGBEYE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2016

Pediatrics (License #ME58278 in FL)

🟢
Initial NPI Registration & Enumeration January 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043366131
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2007
Last Update: June 11, 2020
Sole Proprietor: No

Mailing Address

5900 S John Young Pkwy

Orlando, FL 328393716

Phone: 4073986470

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.