MOJISOLA M OGUNBUYIDE (C.R.N.A.) – Certified Registered Nurse Anesthetist, NPI 1194970020

MOJISOLA M OGUNBUYIDE (C.R.N.A.) is a healthcare provider. based in Palos heights, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials C.R.N.A.. They hold a License No. 209007332 (IL). The NPI Number for MOJISOLA M OGUNBUYIDE (C.R.N.A.) is 1194970020

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MOJISOLA M OGUNBUYIDE (C.R.N.A.)
NPI
1194970020
Phone
(708) 923-4000
Address
12251 S 80TH AVE
Enumeration Date
19 November 2008
Last Update Date
5 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7089234200
Graduation Year
2008 (18 years ago)
PAC ID
3274695655
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20081218000354
Address ID
IL604631290PA12251AVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for MOJISOLA M OGUNBUYIDE (C.R.N.A.)

  • 12251 S 80TH AVE

    PALOS HEIGHTS, IL 604631290

    Phone: (708) 923-4000

    Fax: (708) 923-8848

    Type: Mailing

  • Advocate Children's Hospital, 4440, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    ADVOCATE CHRIST MEDICAL CENTER

    OAK LAWN, IL 60453

    Phone: (708) 684-5745

    Fax: (708) 684-4766

    Type: Location

  • 412, Bluebird Drive, Bloomfield Village, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604404804

    Phone: (630) 226-0021

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $897.

Total Amount is formed as General ($897) + Research ($0) + Ownership ($0) = $897.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Becton, Dickinson and Company ($800).

Total Amount

$897

General + Research + Ownership

Payments

7

Total payment records

General Amount

$897

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-12-18

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
I20081218000354ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00790Anesthesia for other procedure on upper abdomen3232$0
00840Anesthesia for other procedure on lower abdomen1616$0
01402Anesthesia for procedure for total knee joint replacement1111$0
View full utilization report →

Insurance plans in this area (ZIP 60463)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How is MOJISOLA M OGUNBUYIDE (C.R.N.A.) identified in CMS data?
CMS-hosted NPPES data lists MOJISOLA M OGUNBUYIDE (C.R.N.A.) with NPI 1194970020.
Is MOJISOLA M OGUNBUYIDE (C.R.N.A.) listed as active for patients and plans?
The listing shows MOJISOLA M OGUNBUYIDE (C.R.N.A.) as active in the NPI system.
What is MOJISOLA M OGUNBUYIDE (C.R.N.A.) best known for clinically?
Directory data describes MOJISOLA M OGUNBUYIDE (C.R.N.A.) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for MOJISOLA M OGUNBUYIDE (C.R.N.A.)?
MOJISOLA M OGUNBUYIDE (C.R.N.A.)'s geographic hint is Palos Heights, Illinois in our summary view.
Why does MOJISOLA M OGUNBUYIDE (C.R.N.A.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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