YETUNDE O. OLUTUNMBI (M.D.) – Anesthesiology Physician, NPI 1639313364

YETUNDE O. OLUTUNMBI (M.D.) is a healthcare provider. based in Park ridge, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 036-157618 (IL). The NPI Number for YETUNDE O. OLUTUNMBI (M.D.) is 1639313364

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
YETUNDE O. OLUTUNMBI (M.D.)
NPI
1639313364
Phone
(847) 723-2210
Address
1775 Dempster St
Enumeration Date
24 April 2009
Last Update Date
13 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
8004756236
Graduation Year
2009 (17 years ago)
PAC ID
5496973174
Group Practice PAC ID
6901293786
Professional Enrollment ID
I20221222002359
Address ID
IL609012901KA350XXSTXX400

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
yolutunmbi378105@direct.myadvocateaurora.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

2,631 ANESTHESIOLOGY in IL

Provider Addresses for YETUNDE O. OLUTUNMBI (M.D.)

  • 1775 Dempster St

    Park Ridge, IL 600681143

    Phone: (847) 723-2210

    Fax: (847) 723-3532

    Type: Location

  • 3023 MONTCLAIR CIR SE

    SMYRNA, GA 300803796

    Phone: (716) 807-1295

    Type: Location

  • American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States

    PHILADELPHIA, PA 191826515

    Phone: (888) 733-7271

    Fax: (302) 733-0854

    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: 2022-12-22

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
I20190606002840IAnesthesiologyGATBD
I20221222002359IAnesthesiologyILTBD

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
00813Anesthesia for procedure on small and large bowel using an endoscope1313$0
00400Anesthesia for other procedure on skin of arms, legs, and front body1111$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
36620Insertion of artery tube for blood sampling or infusion through skin1111$0
View full utilization report →

Insurance plans in this area (ZIP 60068)

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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: 6901293786View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)NY
A N E S T H E S I O L O G YMO
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)MD

Reviews

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Frequently asked questions

Is there an official ID for YETUNDE O. OLUTUNMBI (M.D.) in U.S. healthcare records?
The official identifier for YETUNDE O. OLUTUNMBI (M.D.) is NPI 1639313364.
Is there an active status for YETUNDE O. OLUTUNMBI (M.D.)?
For scheduling context, YETUNDE O. OLUTUNMBI (M.D.) is shown as active in the registry.
What area of care is associated with YETUNDE O. OLUTUNMBI (M.D.)?
YETUNDE O. OLUTUNMBI (M.D.)'s record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with YETUNDE O. OLUTUNMBI (M.D.)?
Directory geography for YETUNDE O. OLUTUNMBI (M.D.) centers on Park Ridge, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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