Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Omotola Kehinde Ajibade

Individual provider Psychiatry Physician · NPI 1841571841

Mr. Omotola Kehinde Ajibade practises Psychiatry in Maywood, Illinois. Graduated from Mercer University School of Medicine in 2015, 11 years ago. Practices with Good Samaritan Regional Health Center, a 155-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia, Illinois and New Jersey.

Years since qualifying
11
Trained at
Mercer University School of Medicine
Licensed in
GA, IL, NJ
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1055 Howell Mill Rd Nw Fl 8, Atlanta, GA 30318-5557 — (678) 470-1562
  • 1005 Broadway St, Quincy, IL 62301-2834 — (217) 223-1200
  • 927 Broadway St, Quincy, IL 62301-2719 — (217) 224-4453

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036167010 (IL)
Psychiatry Physician Taxonomy 2084P0800X · Licence 25MA11363300 (NJ)
Psychiatry Physician Taxonomy 2084P0800X · Licence 94515 (GA)

Record details

NPI number1841571841
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 2, 2011
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Good Samaritan Regional Health Center — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients36
Services billed 38 a service is one billed item, such as a visit, a test or a procedure
Average patient age62

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Good Samaritan Regional Health Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 155 clinicians in the practice; 12 are shown here.

Other providers in Maywood