DR. OLUSUNMADE ADEKUNLE – Emergency Medicine Physician, NPI 1164717658

DR. OLUSUNMADE ADEKUNLE is a healthcare provider. based in Clearwater, Florida. specializing in Emergency Medicine Physician. They hold a License No. OS11354 (FL). The NPI Number for DR. OLUSUNMADE ADEKUNLE is 1164717658

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. OLUSUNMADE ADEKUNLE
NPI
1164717658
Phone
Not provided
Address
18167 US HIGHWAY 19 N
Enumeration Date
13 June 2011
Last Update Date
13 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3863620800
Graduation Year
2009 (17 years ago)
PAC ID
3274704358
Group Practice PAC ID
8921396136
Professional Enrollment ID
I20110921000459
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for DR. OLUSUNMADE ADEKUNLE

  • 18167 US HIGHWAY 19 N

    SUITE 650

    CLEARWATER, FL 337643528

    Phone:

    Type: Mailing

  • 14000 FIVAY RD

    HUDSON, FL 346677103

    Phone: (727) 819-2929

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Abbott Laboratories ($52).

Total Amount

$52

General + Research + Ownership

Payments

3

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$52
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: 2020-02-06

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
I20110921000459IEmergency MedicineFLTBD
I20170906000352IEmergency MedicineTXTBD
I20200206001121IEmergency MedicineMDTBD

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
99285Emergency department visit with high level of medical decision making249244$0
99284Emergency department visit with moderate level of medical decision making164162$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3535$0
99283Emergency department visit with low level of medical decision making3131$0
View full utilization report →

Insurance plans in this area (ZIP 33764)

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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: 8921396136View full group profile

Reviews

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Frequently asked questions

How is DR. OLUSUNMADE ADEKUNLE identified in CMS data?
CMS-hosted NPPES data lists DR. OLUSUNMADE ADEKUNLE with NPI 1164717658.
Is DR. OLUSUNMADE ADEKUNLE listed as active for patients and plans?
The listing shows DR. OLUSUNMADE ADEKUNLE as active in the NPI system.
What is DR. OLUSUNMADE ADEKUNLE's specialty?
The listing groups DR. OLUSUNMADE ADEKUNLE with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. OLUSUNMADE ADEKUNLE list a practice location?
Patients near Clearwater, Florida may find DR. OLUSUNMADE ADEKUNLE in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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