OLUWADAMILOLA EJIKE (MD) – Pediatric Nephrology Physician, NPI 1841633823
Pediatric Nephrology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
629 NEPHROLOGY in IL
Provider Addresses for OLUWADAMILOLA EJIKE (MD)
9555 S 52nd Ave
Oak Lawn, IL 604533054
Phone: (708) 684-5437
Fax: (708) 876-1569
Type: Location
BAYLOR COLLEGE OF MEDICINE
315 NORTH SAN SABA STREET, SUITE 1135
SAN ANTONIO, TX 782073100
Phone: (210) 704-3030
Type: Mailing
333 N Santa Rosa
San Antonio, TX 782073108
Phone: (210) 704-3030
Type: Location
PO BOX 100296
GAINESVILLE, FL 326100296
Phone: (352) 627-9350
Type: Mailing
PEDIATRIC NEPHROLOGY
333 N SANTA ROSA ST
SAN ANTONIO, TX 782073100
Phone: (210) 704-2431
Type: Mailing
1600 SW ARCHER RD
GAINESVILLE, FL 326103108
Phone: (352) 265-0301
Type: Location
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: 2025-11-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190826003156 | I | Pediatric Medicine | TX | TBD |
| I20230522001316 | I | Pediatric Medicine | IL | TBD |
| I20241121000823 | I | Nephrology | TN | TBD |
| I20241203003554 | I | Pediatric Medicine | FL | TBD |
| I20251103000179 | I | Nephrology | MN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60453)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Otolaryngology, Pediatric Medicine | TX | |
| Pediatric Medicine | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| - | FL | |
| Nurse Practitioner | TX |
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