ISMAIL ADEBAYO OYEBODE (APN) – Family Nurse Practitioner, NPI 1669079018

ISMAIL ADEBAYO OYEBODE (APN) is a healthcare provider. based in Bolingbrook, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209.021681 (IL). The NPI Number for ISMAIL ADEBAYO OYEBODE (APN) is 1669079018

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
ISMAIL ADEBAYO OYEBODE (APN)
NPI
1669079018
Phone
(773) 517-3183
Address
595 LARKSPUR DR
Enumeration Date
7 October 2020
Last Update Date
13 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472577984
Graduation Year
2020 (6 years ago)
PAC ID
0547673220
Group Practice PAC ID
1850631912
Professional Enrollment ID
I20210120000584
Address ID
IL600184511DE2250XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for ISMAIL ADEBAYO OYEBODE (APN)

  • 595 LARKSPUR DR

    BOLINGBROOK, IL 604404809

    Phone: (773) 517-3183

    Fax: (630) 756-2769

    Type: Mailing

  • 11000 S HALSTED ST

    CHICAGO, IL 606283909

    Phone: (773) 517-3183

    Type: Location

  • 595 Larkspur Dr

    Bolingbrook, IL 604404809

    Phone: (773) 517-3183

    Fax: (630) 756-2769

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($124).

Total Amount

$124

General + Research + Ownership

Payments

1

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

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: 2021-01-20

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
I20210120000584INurse PractitionerILTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes27374$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes25671$0
G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow19455$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month14952$0
99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month6538$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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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: 1850631912View full group profile
NameSpecialtyState
Internal Medicine, General Surgery, Obstetrics/GynecologyIL
Physician AssistantIL
Internal MedicineIL
Nurse PractitionerIL
Family Practice, General SurgeryIL
Internal MedicineIL
-IL
Nurse PractitionerIL
-IL
Physician AssistantIL

Reviews

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Frequently asked questions

How is ISMAIL ADEBAYO OYEBODE (APN) identified in CMS data?
CMS-hosted NPPES data lists ISMAIL ADEBAYO OYEBODE (APN) with NPI 1669079018.
Is ISMAIL ADEBAYO OYEBODE (APN) still practicing?
ISMAIL ADEBAYO OYEBODE (APN) is currently listed as active in the public NPI registry.
What is ISMAIL ADEBAYO OYEBODE (APN) best known for clinically?
Directory data describes ISMAIL ADEBAYO OYEBODE (APN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does ISMAIL ADEBAYO OYEBODE (APN) serve?
ISMAIL ADEBAYO OYEBODE (APN)'s listing highlights Bolingbrook, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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