ADETOKUNBO OLUWASANJO (MD) – Medical Oncology Physician, NPI 1184937518
Medical Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ADETOKUNBO OLUWASANJO (MD)
795 STATE ROAD 47
LAKE CITY, FL 320250453
Phone: (386) 401-7066
Fax: (833) 933-0709
Type: Location
6420 W NEWBERRY RD STE 100
GAINESVILLE, FL 326056622
Phone: (352) 332-3900
Fax: (352) 332-5009
Type: Location
6420 W Newberry Rd Ste 100
Gainesville, FL 326056622
Phone: (352) 332-3900
Fax: (352) 332-5009
Type: Location
4371 VERONICA S SHOEMAKER BLVD
FORT MYERS, FL 339162216
Phone: (239) 274-8200
Fax: (239) 278-3350
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 $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2024-02-09 • Largest payer in this snapshot: Genentech USA, Inc. ($29).
Total Amount
$29
General + Research + Ownership
Payments
1
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $29 |
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: 2019-09-24
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 |
|---|---|---|---|---|
| I20130720000296 | I | Internal Medicine | PA | TBD |
| I20190924003806 | I | Hematology/Oncology | FL | 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 32025)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Medical Oncology | FL | |
| Medical Oncology, Hematology/Oncology | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | FL | |
| Internal Medicine, Hematology/Oncology | FL | |
| - | GA | |
| Hematology/Oncology, Internal Medicine | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | FL | |
| Hospice/Palliative Care, Internal Medicine | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | GA |
Reviews
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