DR. SOSUNMOLU OPEMEMI SHOYINKA (MD, MBA) – Psychiatry Physician, NPI 1811181696
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
250 PSYCHIATRY in KS
Provider Addresses for DR. SOSUNMOLU OPEMEMI SHOYINKA (MD, MBA)
8016 State Line Rd Ste 205
Prairie Village, KS 662083713
Phone: (610) 400-4885
Fax: (610) 273-5542
Type: Location
155 Wellness Way
State College, PA 168036797
Phone: (814) 231-7000
Fax: (814) 231-7098
Type: Location
42 E Front Street
Media, PA 19063
Phone: (917) 589-4879
Fax: (573) 884-4515
Type: Location
1800 E Park Ave
State College, PA 168036797
Phone: (814) 231-7000
Fax: (814) 231-7098
Type: Location
150 S WARNER RD STE 130
KING OF PRUSSIA, PA 194062830
Phone: (610) 400-4885
Fax: (610) 273-5542
Type: Location
42, East Front Street, Media, Delaware County, Pennsylvania, 19063, United States
MEDIA, PA 19063
Phone: (917) 589-4879
Fax: (573) 884-4515
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: 2020-02-07
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200207000261 | I | Psychiatry | PA | 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 66208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Registered Dietitian Or Nutrition Professional | PA | |
| - | PA | |
| Physician Assistant | PA | |
| Physical Therapist In Private Practice | NC | |
| - | PA | |
| - | PA | |
| N E U R O L O G Y | PA | |
| - | PA | |
| Qualified Audiologist | PA | |
| Physician Assistant | PA |
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