BAMIDELE OTEMUYIWA – Diagnostic Radiology Physician, NPI 1497250419
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,652 DIAGNOSTIC RADIOLOGY in MI
Provider Addresses for BAMIDELE OTEMUYIWA
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (314) 809-7153
Type: Mailing
3600 MINNESOTA DR STE 800
EDINA, MN 554357915
Phone: (952) 595-1100
Type: Mailing
2340, Stone Road, Northwood V, Ann Arbor, Washtenaw County, Michigan, 48105, United States
ANN ARBOR, MI 481052539
Phone: (314) 809-7153
Type: Mailing
5333 MCAULEY DR RM 4001
YPSILANTI, MI 481971099
Phone: (734) 712-3980
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: 2025-07-21
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20230505000860 | I | Diagnostic Radiology | MI | TBD |
| I20240619000007 | I | Diagnostic Radiology | MT | TBD |
| I20250721002097 | I | Diagnostic Radiology | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 71 | 68 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 58 | 58 | $0 |
| 70450 | Ct scan head or brain without contrast | 54 | 53 | $0 |
| 71046 | X-ray of chest, 2 views | 53 | 53 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 42 | 41 | $0 |
Insurance plans in this area (ZIP 55344)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Interventional Radiology, Diagnostic Radiology | TN | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | VA |
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