OLATOLA OMOBOLANLE IYI-OJO (MD) – Psychiatry Physician, NPI 1477074060

OLATOLA OMOBOLANLE IYI-OJO (MD) is a healthcare provider. based in Bradley, Illinois. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 272831 (MA). The NPI Number for OLATOLA OMOBOLANLE IYI-OJO (MD) is 1477074060

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
OLATOLA OMOBOLANLE IYI-OJO (MD)
NPI
1477074060
Phone
(815) 937-1237
Address
400 S KENNEDY DR STE 300
Enumeration Date
5 July 2017
Last Update Date
2 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
81593272008808
Graduation Year
2004 (22 years ago)
PAC ID
0840557807
Group Practice PAC ID
3274434717
Professional Enrollment ID
I20210629000066
Address ID
IL609012963KA400XXSTXX405
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,743 PSYCHIATRY in MA

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Provider Addresses for OLATOLA OMOBOLANLE IYI-OJO (MD)

  • 400 S KENNEDY DR STE 300

    BRADLEY, IL 609152682

    Phone: (815) 937-1237

    Fax: (815) 933-0662

    Type: Mailing

  • St. Elizabeth's Medical Center, 736, Cambridge Street, Aberdeen, Brighton, Boston, Suffolk County, Massachusetts, 02135, United States

    BRIGHTON, MA 021352907

    Phone: (617) 789-2404

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $915.

Total Amount is formed as General ($915) + Research ($0) + Ownership ($0) = $915.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Indivior Inc. ($284).

Total Amount

$915

General + Research + Ownership

Payments

40

Total payment records

General Amount

$915

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2021-06-29

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
I20210629000066IPsychiatryILTBD

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 minutes320109$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6133$0
90792Psychiatric diagnostic evaluation with medical services3332$0
View full utilization report →

Insurance plans in this area (ZIP 60915)

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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: 3274434717View full group profile
NameSpecialtyState
Nurse PractitionerIL
N E U R O L O G YIL
Physician AssistantIL
-IL
-IL
-IL
Internal MedicineIL
Nurse PractitionerIL
Family PracticeIL
N E U R O L O G YNY

Reviews

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Frequently asked questions

What is OLATOLA OMOBOLANLE IYI-OJO (MD)'s NPI number?
OLATOLA OMOBOLANLE IYI-OJO (MD)'s NPI is 1477074060 — the number used across U.S. healthcare to identify this provider.
Is OLATOLA OMOBOLANLE IYI-OJO (MD) shown as active in public data?
Registry records indicate OLATOLA OMOBOLANLE IYI-OJO (MD) maintains an active NPI.
How would a patient describe OLATOLA OMOBOLANLE IYI-OJO (MD)'s focus?
For OLATOLA OMOBOLANLE IYI-OJO (MD), the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is OLATOLA OMOBOLANLE IYI-OJO (MD) registered?
Use Bradley, Illinois as the headline location for OLATOLA OMOBOLANLE IYI-OJO (MD) here.
Can I trust this NPI listing for OLATOLA OMOBOLANLE IYI-OJO (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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