DR. BOSEDE IBOVBOHI OJO (MD, DC) – Chiropractor, NPI 1770634271

DR. BOSEDE IBOVBOHI OJO (MD, DC) is a healthcare provider. based in Panama city, Florida. specializing in PSYCHIATRY, GERIATRIC PSYCHIATRY. They hold the professional credentials MD, DC. They hold a License No. ME151845 (FL). The NPI Number for DR. BOSEDE IBOVBOHI OJO (MD, DC) is 1770634271

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. BOSEDE IBOVBOHI OJO (MD, DC)
NPI
1770634271
Phone
(850) 763-0017
Address
1940 Harrison Ave
Enumeration Date
13 January 2007
Last Update Date
9 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8507630017
Graduation Year
2011 (15 years ago)
PAC ID
2264972942
Group Practice PAC ID
3274687363
Professional Enrollment ID
I20240909002592
Address ID
FL324054542PA1940XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,954 PSYCHIATRY in FL

Provider Addresses for DR. BOSEDE IBOVBOHI OJO (MD, DC)

  • 1940 Harrison Ave

    Panama City, FL 324054542

    Phone: (850) 763-0017

    Type: Location

  • 1 BAYLOR PLZ STE 405A

    HOUSTON, TX 770303498

    Phone: (713) 791-1414

    Type: Location

  • 401, Southwest 62nd Avenue, Alameda, Miami, Miami-Dade County, Florida, 33144, United States

    SOUTH MIAMI, FL 331434721

    Phone: (305) 284-7761

    Type: Mailing

  • Larkin General Hospital, 7031, Southwest 62nd Avenue, South Miami, Miami-Dade County, Florida, 33143, United States

    SOUTH MIAMI, FL 33143

    Phone: (305) 284-7500

    Type: Location

  • PO BOX 1000

    CHATTAHOOCHEE, FL 323241000

    Phone: (850) 793-6317

    Type: Mailing

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: 2024-09-09

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
I20240909002592IPsychiatryFLTBD

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 32405)

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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: 3274687363View full group profile
NameSpecialtyState
-FL
P S Y C H I A T R YFL
P S Y C H I A T R YFL
P S Y C H I A T R YFL
P S Y C H I A T R YFL
Nurse PractitionerFL
Nurse PractitionerFL
P S Y C H I A T R YMA
-FL
P S Y C H I A T R YFL

Reviews

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Frequently asked questions

How is DR. BOSEDE IBOVBOHI OJO (MD, DC) identified in CMS data?
CMS-hosted NPPES data lists DR. BOSEDE IBOVBOHI OJO (MD, DC) with NPI 1770634271.
Can I rely on DR. BOSEDE IBOVBOHI OJO (MD, DC) being an active provider?
As of the registry snapshot, DR. BOSEDE IBOVBOHI OJO (MD, DC) is marked active.
What is DR. BOSEDE IBOVBOHI OJO (MD, DC)'s specialty?
The listing groups DR. BOSEDE IBOVBOHI OJO (MD, DC) with Chiropractor. Clinical services aligned with this taxonomy classification.
Where is DR. BOSEDE IBOVBOHI OJO (MD, DC) based?
DR. BOSEDE IBOVBOHI OJO (MD, DC) is tied to Panama City, Florida in the data we show; additional addresses may exist on the full record.
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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