MR. SAMSON OLAITAN (MD) – Student in an Organized Health Care Education/Training Program, NPI 1245409135
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,499 FAMILY PRACTICE in AR
Provider Addresses for MR. SAMSON OLAITAN (MD)
1175 Vine St
Batesville, AR 725013526
Phone: (870) 793-4600
Fax: (870) 793-4608
Type: Location
5051, Greenspring Avenue, Cold Spring, Baltimore, Maryland, 21209, United States
SUITE 302
BALTIMORE, MD 212094354
Phone: (410) 601-1441
Type: Location
1993 HARRISON ST STE 302
BATESVILLE, AR 725017309
Phone: (870) 793-2540
Type: Location
1993 HARRISON ST
BATESVILLE, AR 725017309
Phone: (870) 793-2540
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080627000093 | I | Physician Assistant | MD | TBD |
| I20110707000438 | I | Physician Assistant | DC | TBD |
| I20260218001585 | I | Family Practice | AR | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 72501)
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