DR. OLUWATOSIN OLADIPUPO (MD) – Anesthesiology Physician, NPI 1891773289

DR. OLUWATOSIN OLADIPUPO (MD) is a healthcare provider. based in Decatur, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 036-110320 (IL). The NPI Number for DR. OLUWATOSIN OLADIPUPO (MD) is 1891773289

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. OLUWATOSIN OLADIPUPO (MD)
NPI
1891773289
Phone
(217) 876-8121
Address
2300 N Edward St
Enumeration Date
5 January 2006
Last Update Date
2 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7703887745
Graduation Year
1990 (36 years ago)
PAC ID
2163313651
Group Practice PAC ID
4284536855
Professional Enrollment ID
I20221128001004
Address ID
GA300123738CO1612XNEXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

Provider Addresses for DR. OLUWATOSIN OLADIPUPO (MD)

  • 2300 N Edward St

    Decatur, IL 625264163

    Phone: (217) 876-8121

    Type: Location

  • 1133 EAGLES LANDING PKWY

    STOCKBRIDGE, GA 302815085

    Phone: (678) 604-1053

    Type: Location

  • PO BOX 25137

    DECATUR, IL 625255137

    Phone: (800) 897-6169

    Fax: (800) 897-6170

    Type: Mailing

  • Decatur Memorial Hospital, 2300, North Edward Street, Old King's Orchard, Decatur, Macon County, Illinois, 62526, United States

    DECATUR, IL 625264163

    Phone: (217) 876-8121

    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: 2022-11-28

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
I20221128001004IAnesthesiologyGATBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3434$0
00840Anesthesia for other procedure on lower abdomen1918$0
00790Anesthesia for other procedure on upper abdomen1616$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
00142Anesthesia for lens surgery1111$0
View full utilization report →

Insurance plans in this area (ZIP 62526)

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Provider's Procedures

DR. OLUWATOSIN OLADIPUPO (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIL00790Anesthesia for procedure in upper abdomen including use of an endoscope1818
ANESTHESIOLOGYIL01402Anesthesia for open or endoscopic total knee joint replacement4443

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: 4284536855View full group profile
NameSpecialtyState
-GA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YGA
-GA
Anesthesiology AssistantGA
Anesthesiology AssistantGA

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Frequently asked questions

What is the standard ID for DR. OLUWATOSIN OLADIPUPO (MD) in the U.S.?
In the U.S., DR. OLUWATOSIN OLADIPUPO (MD) is identified by NPI 1891773289.
Is DR. OLUWATOSIN OLADIPUPO (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. OLUWATOSIN OLADIPUPO (MD) as active.
Which specialty label fits DR. OLUWATOSIN OLADIPUPO (MD)?
NPPES ties DR. OLUWATOSIN OLADIPUPO (MD) to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. OLUWATOSIN OLADIPUPO (MD) in Decatur, Illinois?
For routing, start with Decatur, Illinois for DR. OLUWATOSIN OLADIPUPO (MD), then verify phone and hours locally.
Can I export DR. OLUWATOSIN OLADIPUPO (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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