ADEWALE A. FAWOLE (M.D.) – Medical Oncology Physician, NPI 1073742359

ADEWALE A. FAWOLE (M.D.) is a healthcare provider. based in Lady lake, Florida. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. ME134275 (FL). The NPI Number for ADEWALE A. FAWOLE (M.D.) is 1073742359

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ADEWALE A. FAWOLE (M.D.)
NPI
1073742359
Phone
(352) 753-9777
Address
1400 N US Highway 441 Ste 540
Enumeration Date
8 July 2009
Last Update Date
26 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3525613290
Graduation Year
2001 (25 years ago)
PAC ID
6800051210
Group Practice PAC ID
2567356058
Professional Enrollment ID
I20180110000913
Address ID
FL321598987LA1400X540X601
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,007 HEMATOLOGY/ONCOLOGY in FL

Provider Addresses for ADEWALE A. FAWOLE (M.D.)

  • 1400 N US Highway 441 Ste 540

    Lady Lake, FL 321598987

    Phone: (352) 753-9777

    Fax: (866) 446-1888

    Type: Location

  • 601 E Dixie Ave Ste 1001

    Leesburg, FL 347487309

    Phone: (352) 787-9448

    Fax: (352) 787-3250

    Type: Location

  • 1400 N US HIGHWAY 441 STE 540

    LADY LAKE, FL 321598987

    Phone: (352) 561-3290

    Fax: (352) 561-3291

    Type: Location

  • Veronica S Shoemaker Blvd, Fort Myers, Lee County, Florida, 33916, United States

    FORT MYERS, FL 339162216

    Phone: (239) 274-8200

    Type: Mailing

  • 2955 BROWNWOOD BLVD

    THE VILLAGES, FL 321632039

    Phone: (352) 765-7100

    Fax: (352) 430-0210

    Type: Location

  • PO BOX 102222

    ATTN CREDENTIALING@FLCANCER.COM

    ATLANTA, GA 303682222

    Phone: (239) 274-8200

    Type: Mailing

  • 2955 BROWNWOOD BLVD STE 107

    THE VILLAGES, FL 321632040

    Phone: (352) 765-7100

    Fax: (352) 430-0210

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 257 Open Payments records for all available years, with a total value of $5,620.

Total Amount is formed as General ($5,620) + Research ($0) + Ownership ($0) = $5,620.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Celgene Corporation ($807).

Total Amount

$5,620

General + Research + Ownership

Payments

257

Total payment records

General Amount

$5,620

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2018-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20180110000913IHematology/OncologyFLTBD

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
Q0138Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)30,60042$0
Q5101Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram20,94025$0
J1439Injection, ferric carboxymaltose, 1 mg18,75018$0
J0185Injection, aprepitant, 1 mg16,90042$0
J9271Injection, pembrolizumab, 1 mg15,80017$0
View full utilization report →

Insurance plans in this area (ZIP 32159)

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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: 2567356058View full group profile
NameSpecialtyState
Medical OncologyFL
Medical Oncology, Hematology/OncologyFL
H E M A T O L O G Y/ O N C O L O G YFL
H E M A T O L O G Y/ O N C O L O G YFL
Internal Medicine, Hematology/OncologyFL
-GA
Hematology/Oncology, Internal MedicineGA
H E M A T O L O G Y/ O N C O L O G YFL
Hospice/Palliative Care, Internal MedicineFL
H E M A T O L O G Y/ O N C O L O G YGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for ADEWALE A. FAWOLE (M.D.)?
ADEWALE A. FAWOLE (M.D.) — NPI 1073742359 — is the standard way to identify this listing.
Can I rely on ADEWALE A. FAWOLE (M.D.) being an active provider?
As of the registry snapshot, ADEWALE A. FAWOLE (M.D.) is marked active.
What taxonomy line describes ADEWALE A. FAWOLE (M.D.)?
For research purposes, treat ADEWALE A. FAWOLE (M.D.) as Medical Oncology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ADEWALE A. FAWOLE (M.D.)?
ADEWALE A. FAWOLE (M.D.)'s geographic hint is Lady Lake, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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