DR. ORIMISAN SAMUEL ADEKOLUJO (MD) – Hematology & Oncology Physician, NPI 1114276474

DR. ORIMISAN SAMUEL ADEKOLUJO (MD) is a healthcare provider. based in Flint, Michigan. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. 4301103980 (MI). The NPI Number for DR. ORIMISAN SAMUEL ADEKOLUJO (MD) is 1114276474

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. ORIMISAN SAMUEL ADEKOLUJO (MD)
NPI
1114276474
Phone
(810) 342-5800
Address
G3230 BEECHER RD
Enumeration Date
2 September 2012
Last Update Date
14 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
9830323583
Group Practice PAC ID
8628975497
Professional Enrollment ID
I20131011000475
Address ID
MI485323661FL4100XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

476 HEMATOLOGY/ONCOLOGY in MI

Provider Addresses for DR. ORIMISAN SAMUEL ADEKOLUJO (MD)

  • G3230 BEECHER RD

    FLINT, MI 485323604

    Phone: (810) 342-5800

    Fax: (810) 342-5810

    Type: Mailing

  • G-3230 BEECHER RD

    SUITE 2

    FLINT, MI 485323604

    Phone: (810) 342-5800

    Fax: (810) 342-5810

    Type: Location

  • 4100 BEECHER RD STE B

    FLINT, MI 485323661

    Phone: (810) 235-8568

    Fax: (810) 235-4902

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2023-10-16 • Largest payer in this snapshot: Amgen Inc. ($31).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$31
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: 2013-10-11

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
I20131011000475IHematology/OncologyMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes358162$0
99215Established patient office or other outpatient visit, 40-54 minutes19389$0
99213Established patient office or other outpatient visit, 20-29 minutes6552$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4846$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4535$0
View full utilization report →

Insurance plans in this area (ZIP 48532)

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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: 8628975497View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Physical Medicine And RehabilitationMI
Nurse PractitionerTN
Family PracticeMI
-MI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What is the registry number for DR. ORIMISAN SAMUEL ADEKOLUJO (MD)?
The registry entry for DR. ORIMISAN SAMUEL ADEKOLUJO (MD) shows NPI 1114276474.
Is DR. ORIMISAN SAMUEL ADEKOLUJO (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. ORIMISAN SAMUEL ADEKOLUJO (MD) as active.
Which specialty label fits DR. ORIMISAN SAMUEL ADEKOLUJO (MD)?
NPPES ties DR. ORIMISAN SAMUEL ADEKOLUJO (MD) to Hematology & Oncology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. ORIMISAN SAMUEL ADEKOLUJO (MD) in Flint, Michigan?
For routing, start with Flint, Michigan for DR. ORIMISAN SAMUEL ADEKOLUJO (MD), then verify phone and hours locally.
Who maintains DR. ORIMISAN SAMUEL ADEKOLUJO (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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