ADEDEJI OLUSANYA (DO/MPH) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1649899097
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
756 PAIN MANAGEMENT in TX
Provider Addresses for ADEDEJI OLUSANYA (DO/MPH)
13154 ROYAL GEORGE AVE
ODESSA, FL 335565719
Phone: (813) 690-4491
Type: Mailing
7703 FLOYD CURL DR
SAN ANTONIO, TX 782293901
Phone: (210) 567-5359
Type: Location
4502 Medical Dr
San Antonio, TX 782294492
Phone: (210) 358-4000
Fax: (210) 358-4775
Type: Location
5282 MEDICAL DR STE 180
SAN ANTONIO, TX 782295384
Phone: (210) 450-9850
Fax: (210) 450-6095
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $11,815.
Total Amount is formed as General ($11,815) + Research ($0) + Ownership ($0) = $11,815.
Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Medtronic, Inc. ($10,293).
Total Amount
$11,815
General + Research + Ownership
Payments
49
Total payment records
General Amount
$11,815
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $10,293 |
| Nevro Corp. | $666 |
| Boston Scientific Corporation | $242 |
| Spinal Simplicity, LLC | $220 |
| Averitas Pharma Inc. | $166 |
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: 2025-05-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250530001204 | I | Pain Management | TX | 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 33556)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| - | TX | |
| Internal Medicine, Hospitalist | TX | |
| - | TX | |
| - | TX | |
| Internal Medicine, Hematology/Oncology | TX | |
| - | TX | |
| Hematology/Oncology, Medical Oncology | TX | |
| - | TX |
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