KOLAWOLE OYELESE (M.D.) – Maternal & Fetal Medicine Physician, NPI 1568407955

KOLAWOLE OYELESE (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 290500 (MA). The NPI Number for KOLAWOLE OYELESE (M.D.) is 1568407955

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
KOLAWOLE OYELESE (M.D.)
NPI
1568407955
Phone
(617) 667-7000
Address
330 BROOKLINE AVE
Enumeration Date
18 June 2006
Last Update Date
21 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177548612
Graduation Year
1986 (40 years ago)
PAC ID
7012929540
Group Practice PAC ID
4486567104
Professional Enrollment ID
I20220108000102
Address ID
MA022155400BO330XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,231 OBSTETRICS/GYNECOLOGY in MA

Provider Addresses for KOLAWOLE OYELESE (M.D.)

  • 330 BROOKLINE AVE

    BOSTON, MA 022155400

    Phone: (617) 667-7000

    Type: Mailing

  • 300 Longwood Ave

    Boston, MA 021155724

    Phone: (617) 355-6000

    Type: Location

  • 66, Gilbert Street West, Tinton Falls, Monmouth County, New Jersey, 07701, United States

    2ND FLOOR

    TINTON FALLS, NJ 077014947

    Phone: (732) 212-0051

    Fax: (732) 212-0713

    Type: Mailing

  • Clinical Academic Building, 125, Paterson Street, New Brunswick, Middlesex County, New Jersey, 08901, United States

    SUITE 4200

    NEW BRUNSWICK, NJ 089011962

    Phone: (732) 235-6600

    Fax: (732) 235-6650

    Type: Location

  • PO BOX 416524

    BOSTON, MA 022416524

    Phone: (844) 362-1735

    Fax: (973) 290-7495

    Type: Mailing

  • 435 SOUTH ST STE 380

    MORRISTOWN, NJ 079606481

    Phone: (973) 971-7085

    Fax: (973) 290-7316

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $1,786.

Total Amount is formed as General ($1,786) + Research ($0) + Ownership ($0) = $1,786.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Sonio ($1,786).

Total Amount

$1,786

General + Research + Ownership

Payments

4

Total payment records

General Amount

$1,786

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Sonio$1,786
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: 2022-01-08

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
I20220108000102IObstetrics/GynecologyMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02215)

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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: 4486567104View full group profile

Reviews

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Frequently asked questions

How do I look up KOLAWOLE OYELESE (M.D.) by NPI?
Use NPI 1568407955 when you need to reference KOLAWOLE OYELESE (M.D.) in forms, claims, or directories.
Is KOLAWOLE OYELESE (M.D.) currently active in the NPI registry?
CMS-published data lists KOLAWOLE OYELESE (M.D.) as an active registrant.
What field does KOLAWOLE OYELESE (M.D.) work in?
You can think of KOLAWOLE OYELESE (M.D.) as practicing within Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is KOLAWOLE OYELESE (M.D.)'s primary listing?
We display Boston, Massachusetts because that is what the record indicates for KOLAWOLE OYELESE (M.D.).
What if Boston, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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