ABIODUN SANGOSENI (MD) – Internal Medicine Physician, NPI 1194710483

ABIODUN SANGOSENI (MD) is a healthcare provider. based in Glen carbon, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. The NPI Number for ABIODUN SANGOSENI (MD) is 1194710483

Main info

Male
40 Years Of Experience
Name
ABIODUN SANGOSENI (MD)
NPI
1194710483
Phone
(800) 968-6866
Address
17 GINGER CREEK MDWS
Enumeration Date
13 September 2005
Last Update Date
7 August 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6187983000
Graduation Year
1986 (40 years ago)
PAC ID
2668424052
Group Practice PAC ID
5496111676
Professional Enrollment ID
I20050214000771
Address ID
IL620404713GR2100XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for ABIODUN SANGOSENI (MD)

  • 17, Ginger Creek Meadows, Glen Carbon, Madison County, Illinois, 62034, United States

    GLEN CARBON, IL 620343508

    Phone: (800) 968-6866

    Type: Location

  • PO BOX 66971

    DEPT LE

    SAINT LOUIS, MO 631666971

    Phone: (800) 968-6866

    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: 2005-07-14

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
I20050214000771IInternal MedicineILTBD
I20050714000273IInternal MedicineMOTBD

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
99284Emergency department visit with moderate level of medical decision making162147$0
99285Emergency department visit with high level of medical decision making122111$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5048$0
99283Emergency department visit with low level of medical decision making2523$0
View full utilization report →

Insurance plans in this area (ZIP 62034)

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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: 5496111676View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineIL
Nurse PractitionerIL
Nurse PractitionerMO
Internal MedicineMI
Internal MedicineIL
Internal MedicineIL
Physician AssistantIL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is the standard ID for ABIODUN SANGOSENI (MD) in the U.S.?
In the U.S., ABIODUN SANGOSENI (MD) is identified by NPI 1194710483.
Is ABIODUN SANGOSENI (MD)'s NPI status active today?
Active status means ABIODUN SANGOSENI (MD)'s NPI record is not deactivated in the public file.
How should patients interpret ABIODUN SANGOSENI (MD)'s specialty?
The extract shows Internal Medicine Physician for ABIODUN SANGOSENI (MD). Clinical services aligned with this taxonomy classification.
Is ABIODUN SANGOSENI (MD) tied to Glen Carbon, Illinois?
If you are local to Glen Carbon, Illinois, ABIODUN SANGOSENI (MD) may be relevant to your search.
Who maintains ABIODUN SANGOSENI (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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