OLUWAKUNLE OLALEKAN OLUWATOSIN (MD) – Interventional Cardiology Physician, NPI 1396912796

OLUWAKUNLE OLALEKAN OLUWATOSIN (MD) is a healthcare provider. based in Osage beach, Missouri. specializing in INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 01065287A (IN). The NPI Number for OLUWAKUNLE OLALEKAN OLUWATOSIN (MD) is 1396912796

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
OLUWAKUNLE OLALEKAN OLUWATOSIN (MD)
NPI
1396912796
Phone
(573) 348-8399
Address
54 HOSPITAL DR
Enumeration Date
14 May 2008
Last Update Date
3 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3618888271
Graduation Year
1998 (28 years ago)
PAC ID
1557439262
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20250313002618
Address ID
TX784043150CO1521XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience96
Completeness85
Years active:18State licenses:5Digital endpointsOther names

204 INTERVENTIONAL CARDIOLOGY in MO

Provider Addresses for OLUWAKUNLE OLALEKAN OLUWATOSIN (MD)

  • 54 HOSPITAL DR

    OSAGE BEACH, MO 650653050

    Phone: (573) 348-8399

    Type: Mailing

  • 2602, West 39th Street, Kearney, Buffalo County, Nebraska, 68845, United States

    KEARNEY, NE 688458225

    Phone: (646) 316-0493

    Type: Mailing

  • Cranberry Boulevard, Weston Medical Center, Village of Weston, Marathon County, Wisconsin, 54476, United States

    WESTON, WI 544765216

    Phone: (715) 393-3900

    Type: Location

  • 1521 S Staples St

    Corpus Christi, TX 784043150

    Phone: (361) 888-8271

    Type: Location

  • 3800 S National Ave Ste 400

    Springfield, MO 658075272

    Phone: (000) 000-0000

    Type: Location

  • 1912 ANDREA DR

    JEFFERSON CITY, MO 651016016

    Phone: (646) 316-0493

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 118 Open Payments records for all available years, with a total value of $11,202.

Total Amount is formed as General ($11,202) + Research ($0) + Ownership ($0) = $11,202.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Abbott Laboratories ($6,823).

Total Amount

$11,202

General + Research + Ownership

Payments

118

Total payment records

General Amount

$11,202

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-03-13

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151210002095ICardiovascular Disease (Cardiology)ARTBD
I20201207000637IInterventional CardiologyMOTBD
I20250313002618IInterventional CardiologyTXTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only852605$0
99213Established patient office or other outpatient visit, 20-29 minutes468330$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function324314$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17783$0
99214Established patient office or other outpatient visit, 30-39 minutes167132$0
View full utilization report →

Insurance plans in this area (ZIP 65065)

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Provider's Procedures

OLUWAKUNLE OLALEKAN OLUWATOSIN (MD) performs procedures in INTERVENTIONAL CARDIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)WI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report180140

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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

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Frequently asked questions

What identifier follows OLUWAKUNLE OLALEKAN OLUWATOSIN (MD) across health systems?
The NPI 1396912796 uniquely identifies OLUWAKUNLE OLALEKAN OLUWATOSIN (MD) in U.S. healthcare data.
Is OLUWAKUNLE OLALEKAN OLUWATOSIN (MD)'s NPI status active today?
Active status means OLUWAKUNLE OLALEKAN OLUWATOSIN (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits OLUWAKUNLE OLALEKAN OLUWATOSIN (MD)?
NPPES ties OLUWAKUNLE OLALEKAN OLUWATOSIN (MD) to Interventional Cardiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to OLUWAKUNLE OLALEKAN OLUWATOSIN (MD)?
OLUWAKUNLE OLALEKAN OLUWATOSIN (MD) is associated with Osage Beach, Missouri in the same public data insurers reference.
Why is information missing for OLUWAKUNLE OLALEKAN OLUWATOSIN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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