OLUYOMI OBAFEMI (M.D.) – Public Health & General Preventive Medicine Physician, NPI 1003174384
Public Health & General Preventive Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
36 PREVENTIVE MEDICINE in CO
Provider Addresses for OLUYOMI OBAFEMI (M.D.)
1450 ALBION ST
DENVER, CO 802202322
Phone: (646) 715-4014
Type: Mailing
12631 E 17TH AVE OFC 3205
AURORA, CO 80045
Phone: (303) 724-9593
Type: Location
605 BANNOCK ST # MC2600
DENVER, CO 802044505
Phone: (303) 602-3518
Type: Mailing
PO BOX 6880
SANTA FE, NM 875026880
Phone: (505) 216-0332
Fax: (505) 982-0279
Type: Mailing
649 HARKLE RD STE E
SANTA FE, NM 875054765
Phone: (505) 955-9454
Type: Location
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: 2025-02-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20191125000338 | I | Preventive Medicine | CO | TBD |
| I20250218001487 | I | Preventive Medicine | NM | 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 80220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NM | |
| Nurse Practitioner | NM | |
| - | NM | |
| - | NM | |
| - | NH | |
| Family Practice | AZ | |
| Nurse Practitioner | NM | |
| Family Practice | NM | |
| Mental Health Counselor | NM | |
| Nurse Practitioner | TX |
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