OLUWAKEMI OLUWAFUNMILOLA OSHOLAKE (M.D.) – Family Medicine Physician, NPI 1174044796

OLUWAKEMI OLUWAFUNMILOLA OSHOLAKE (M.D.) is a healthcare provider. based in Mesa, Arizona. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 32772 (OK). The NPI Number for OLUWAKEMI OLUWAFUNMILOLA OSHOLAKE (M.D.) is 1174044796

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
OLUWAKEMI OLUWAFUNMILOLA OSHOLAKE (M.D.)
NPI
1174044796
Phone
(602) 346-7065
Address
5916 E McKellips Rd
Enumeration Date
5 July 2017
Last Update Date
25 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2817208998
Graduation Year
2010 (16 years ago)
PAC ID
9335411586
Group Practice PAC ID
2668702465
Professional Enrollment ID
I20220310001588
Address ID
TX770655073HO12266WXXX700
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:8State licenses:3Digital endpointsOther names

2,260 FAMILY PRACTICE in AZ

Provider Addresses for OLUWAKEMI OLUWAFUNMILOLA OSHOLAKE (M.D.)

  • 5916 E McKellips Rd

    Mesa, AZ 852152755

    Phone: (602) 346-7065

    Type: Location

  • 15679, Northeast 23rd Street, Choctaw, Oklahoma County, Oklahoma, 73020, United States

    CHOCTAW, OK 730208592

    Phone: (405) 390-1800

    Fax: (405) 390-3846

    Type: Mailing

  • 12266 FARM TO MARKET 1960 RD. W

    HOUSTON, TX 77065

    Phone: (281) 720-8998

    Fax: (415) 252-7176

    Type: Location

  • 10124 HAMMERLY BLVD

    HOUSTON, TX 770805010

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-02-27 • Largest payer in this snapshot: Boston Scientific Corporation ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210421002364IFamily PracticeAZTBD
I20220310001588IFamily PracticeTXTBD
I20260218004527IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4023$0
99214Established patient office or other outpatient visit, 30-39 minutes3824$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 85215)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668702465View full group profile
NameSpecialtyState
Physician AssistantTX
Nurse PractitionerNH
Internal Medicine, Hospice/Palliative CareTX
Nurse PractitionerTX
Clinical PsychologistMA
Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal MedicinePA
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX

Reviews

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Frequently asked questions

How is OLUWAKEMI OLUWAFUNMILOLA OSHOLAKE (M.D.) identified in CMS data?
CMS-hosted NPPES data lists OLUWAKEMI OLUWAFUNMILOLA OSHOLAKE (M.D.) with NPI 1174044796.
Is OLUWAKEMI OLUWAFUNMILOLA OSHOLAKE (M.D.) listed as active for patients and plans?
The listing shows OLUWAKEMI OLUWAFUNMILOLA OSHOLAKE (M.D.) as active in the NPI system.
What is OLUWAKEMI OLUWAFUNMILOLA OSHOLAKE (M.D.) best known for clinically?
Directory data describes OLUWAKEMI OLUWAFUNMILOLA OSHOLAKE (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does OLUWAKEMI OLUWAFUNMILOLA OSHOLAKE (M.D.) list a practice location?
Patients near Mesa, Arizona may find OLUWAKEMI OLUWAFUNMILOLA OSHOLAKE (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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