OLUYEMISI OLAWUNMI AMODA (MD) – Internal Medicine Physician, NPI 1508322918

OLUYEMISI OLAWUNMI AMODA (MD) is a healthcare provider. based in Kissimmee, Florida. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. ME172841 (FL). The NPI Number for OLUYEMISI OLAWUNMI AMODA (MD) is 1508322918

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
OLUYEMISI OLAWUNMI AMODA (MD)
NPI
1508322918
Phone
(877) 352-5864
Address
4553 Pleasant Hill Rd
Enumeration Date
11 February 2019
Last Update Date
1 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073033827
Graduation Year
2011 (15 years ago)
PAC ID
5193191807
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20250911000459
Address ID
FL347474970KI400XXPLXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

1,173 PULMONARY DISEASE in FL

Provider Addresses for OLUYEMISI OLAWUNMI AMODA (MD)

  • 4553 Pleasant Hill Rd

    Kissimmee, FL 347593422

    Phone: (877) 352-5864

    Type: Location

  • 10920 Moss Park Rd Ste 100

    Orlando, FL 328326087

    Phone: (877) 352-5864

    Type: Location

  • 1 BROOKDALE PLZ

    BROOKLYN, NY 112123139

    Phone: (718) 240-6437

    Type: Mailing

  • 400 CELEBRATION PL

    CELEBRATION, FL 347474970

    Phone: (407) 303-7283

    Type: Mailing

  • 3480 Polynesian Isle Blvd

    Kissimmee, FL 347464654

    Phone: (877) 352-5864

    Fax: (407) 507-2479

    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: 2025-09-11

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
I20250911000459IPulmonary DiseaseFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34759)

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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: 0749186153View full group profile
NameSpecialtyState
Physician AssistantFL
N E U R O L O G YFL
General SurgeryFL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists)FL
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantFL

Reviews

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Frequently asked questions

What federal number belongs to OLUYEMISI OLAWUNMI AMODA (MD)?
The federal identifier for OLUYEMISI OLAWUNMI AMODA (MD) is NPI 1508322918.
Is OLUYEMISI OLAWUNMI AMODA (MD) active in the national directory?
OLUYEMISI OLAWUNMI AMODA (MD)'s public NPI profile is in an active state.
What kind of provider is OLUYEMISI OLAWUNMI AMODA (MD)?
The page reflects Internal Medicine Physician for OLUYEMISI OLAWUNMI AMODA (MD). Clinical services aligned with this taxonomy classification.
What location shows for OLUYEMISI OLAWUNMI AMODA (MD)?
We surface Kissimmee, Florida for OLUYEMISI OLAWUNMI AMODA (MD) based on available NPPES addresses.
What if Kissimmee, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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