SAMUEL OJEWALE (MD) – Emergency Medicine Physician, NPI 1508449869

SAMUEL OJEWALE (MD) is a healthcare provider. based in Warner robins, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 101013 (GA). The NPI Number for SAMUEL OJEWALE (MD) is 1508449869

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL OJEWALE (MD)
NPI
1508449869
Phone
(478) 922-4281
Address
1601 WATSON BLVD
Enumeration Date
4 May 2021
Last Update Date
19 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4789224281
Graduation Year
2021 (5 years ago)
PAC ID
5698121614
Group Practice PAC ID
2264663756
Professional Enrollment ID
I20240801001223
Address ID
GA310933431WA1601XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

Provider Addresses for SAMUEL OJEWALE (MD)

  • 1601 WATSON BLVD

    WARNER ROBINS, GA 310933431

    Phone: (478) 922-4281

    Type: Mailing

  • 2600 SIXTH ST SW

    CANTON, OH 447101702

    Phone: (330) 363-3926

    Fax: (330) 363-5380

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $215.

Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.

Last reported payment date: 2024-03-19 • Largest payer in this snapshot: CSL Behring ($141).

Total Amount

$215

General + Research + Ownership

Payments

3

Total payment records

General Amount

$215

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$141
Vapotherm Inc$74
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: 2024-08-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231027001167IEmergency MedicineOHTBD
I20240801001223IEmergency MedicineGATBD

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 31093)

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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: 2264663756View full group profile
NameSpecialtyState
Nurse PractitionerGA
-CA
Emergency MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA
Internal MedicineGA
Emergency MedicineFL
Emergency MedicineGA
Emergency MedicineGA
Internal MedicineGA

Reviews

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Frequently asked questions

What is the registry number for SAMUEL OJEWALE (MD)?
The registry entry for SAMUEL OJEWALE (MD) shows NPI 1508449869.
Is SAMUEL OJEWALE (MD) currently accepting referrals based on NPI status?
Registry metadata lists SAMUEL OJEWALE (MD) as active.
Which specialty label fits SAMUEL OJEWALE (MD)?
NPPES ties SAMUEL OJEWALE (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SAMUEL OJEWALE (MD)?
SAMUEL OJEWALE (MD) is associated with Warner Robins, Georgia in the same public data insurers reference.
Why is information missing for SAMUEL OJEWALE (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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