MONISOLA MODUPE SANUSI (MD) – Family Medicine Physician, NPI 1053799973

MONISOLA MODUPE SANUSI (MD) is a healthcare provider. based in Albany, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 005496 (GA). The NPI Number for MONISOLA MODUPE SANUSI (MD) is 1053799973

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MONISOLA MODUPE SANUSI (MD)
NPI
1053799973
Phone
Not provided
Address
2816 PARTRIDGE DR
Enumeration Date
12 May 2015
Last Update Date
12 May 2015

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
2293129651
Graduation Year
2012 (14 years ago)
PAC ID
1456665702
Group Practice PAC ID
8426112350
Professional Enrollment ID
I20150731014710
Address ID
GA317070213AL2709XDRXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for MONISOLA MODUPE SANUSI (MD)

  • 2816 PARTRIDGE DR

    B

    ALBANY, GA 317216238

    Phone:

    Type: Mailing

  • 2336 DAWSON RD

    1100

    ALBANY, GA 317072800

    Phone: (229) 312-8871

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 108 Open Payments records for all available years, with a total value of $1,960.

Total Amount is formed as General ($1,960) + Research ($0) + Ownership ($0) = $1,960.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($313).

Total Amount

$1,960

General + Research + Ownership

Payments

108

Total payment records

General Amount

$1,960

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2015-07-31

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
I20150731014710IFamily PracticeGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes351168$0
36415Insertion of needle into vein for collection of blood sample14298$0
83036Hemoglobin a1c level6747$0
G0008Administration of influenza virus vaccine4341$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage4140$0
View full utilization report →

Insurance plans in this area (ZIP 31721)

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Provider's Procedures

MONISOLA MODUPE SANUSI (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA81002Urinalysis, manual test2218

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: 8426112350View full group profile
NameSpecialtyState
-GA
Nurse PractitionerGA
-GA
Internal MedicineGA
Family PracticeGA
Nurse PractitionerGA
-GA
Certified Registered Nurse Anesthetist (Crna)GA
Internal Medicine, Critical Care (Intensivists), Infectious DiseaseIN
Internal MedicineGA

Reviews

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Frequently asked questions

Can I cross-check MONISOLA MODUPE SANUSI (MD) using NPI 1053799973?
NPI 1053799973 belongs to MONISOLA MODUPE SANUSI (MD); compare other details if you need extra assurance.
Active or inactive — what applies to MONISOLA MODUPE SANUSI (MD)?
You should see MONISOLA MODUPE SANUSI (MD) as active in CMS-hosted NPPES data.
How would a patient describe MONISOLA MODUPE SANUSI (MD)'s focus?
For MONISOLA MODUPE SANUSI (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MONISOLA MODUPE SANUSI (MD)?
Directory geography for MONISOLA MODUPE SANUSI (MD) centers on Albany, Georgia.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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