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

Ayotunde Mark Bamimore, MD

Individual provider Cardiovascular Disease Physician · NPI 1558546515

Ayotunde Mark Bamimore, MD is a Cardiac Electrophysiology in Saint Charles, Missouri. Qualified in 2001, 25 years ago. Practices with SSM Medical Group Inc, a 560-clinician group and accepts Medicare assignment. Licensed in Missouri and North Carolina.

Years since qualifying
25
Licensed in
MO, NC
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 1st Capitol Dr Ste 401
Saint Charles, MO 63301-2886
Phone: (636) 669-2220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 2013027460 (MO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 2012-00809 (NC)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 2013027460 (MO)

Record details

NPI number1558546515
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 8, 2008
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020
Mailing addressPo Box 955534, Saint Louis, MO 63195-2551

Medicare enrollment

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

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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