DR. GANIU ABIMBOLA EDU (M.D) – Anesthesiology Physician, NPI 1730260423
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,330 ANESTHESIOLOGY in GA
Provider Addresses for DR. GANIU ABIMBOLA EDU (M.D)
777 Hemlock St
Macon, GA 312012102
Phone: (478) 633-1000
Type: Location
PO BOX 760421
LATHRUP VILLAGE, MI 480760421
Phone: (313) 832-1350
Type: Mailing
2041 FORT ST
LINCOLN PARK, MI 481462402
Phone: (313) 551-5501
Fax: (313) 566-4301
Type: Location
20252 BEECHAVEN ST
SOUTHFIELD, MI 480761753
Phone: (313) 932-1350
Type: Location
4750, North 74th Street, Columbus Park, Milwaukee, Milwaukee County, Wisconsin, 53218, United States
MILWAUKEE, WI 532184715
Phone: (414) 510-3094
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: 2024-08-07
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 |
|---|---|---|---|---|
| I20240807001000 | I | Anesthesiology | NY | 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 31201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | NY | |
| - | NY | |
| A N E S T H E S I O L O G Y | AL | |
| A N E S T H E S I O L O G Y | IL | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | NY | |
| - | NY | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | NY |
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