OLUYOMI O OLUSANYA (MD) – Internal Medicine Physician, NPI 1457302937

OLUYOMI O OLUSANYA (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 2002009086 (MO). The NPI Number for OLUYOMI O OLUSANYA (MD) is 1457302937

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
OLUYOMI O OLUSANYA (MD)
NPI
1457302937
Phone
(314) 989-0300
Address
PO BOX 932051
Enumeration Date
12 May 2006
Last Update Date
24 April 2013

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5738754545
Graduation Year
1999 (27 years ago)
PAC ID
7315996394
Group Practice PAC ID
5395643209
Professional Enrollment ID
I20050117000467
Address ID
MO652015897CO1600XBROA300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

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Provider Addresses for OLUYOMI O OLUSANYA (MD)

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641930001

    Phone: (314) 989-0300

    Type: Mailing

  • 1060, South Bishop Avenue, Rolla, Phelps County, Missouri, 65401, United States

    ROLLA, MO 654014465

    Phone: (573) 426-5900

    Fax: (573) 426-4466

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Gilead Sciences, Inc. ($21).

Total Amount

$88

General + Research + Ownership

Payments

5

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

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: 2005-01-17

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
I20050117000467IInternal MedicineMOTBD

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
99285Emergency department visit with high level of medical decision making174165$0
99284Emergency department visit with moderate level of medical decision making162153$0
99291Critical care, first 30-74 minutes7069$0
99283Emergency department visit with low level of medical decision making3434$0
99292Critical care, each additional 30 minutes2613$0
View full utilization report →

Insurance plans in this area (ZIP 64193)

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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: 5395643209View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeIN
Emergency MedicineMA
-PA
-TN
Emergency Medicine, Pediatric MedicineIL
Emergency Medicine, Pediatric MedicineTN
-MO
Emergency Medicine, Family PracticeFL
Emergency MedicineMO
-CT

Reviews

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Frequently asked questions

What is the registry number for OLUYOMI O OLUSANYA (MD)?
The registry entry for OLUYOMI O OLUSANYA (MD) shows NPI 1457302937.
Quick check: is OLUYOMI O OLUSANYA (MD) active?
Public NPPES data shows OLUYOMI O OLUSANYA (MD) with an active NPI status right now.
Which specialty label fits OLUYOMI O OLUSANYA (MD)?
NPPES ties OLUYOMI O OLUSANYA (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit OLUYOMI O OLUSANYA (MD) in Kansas City, Missouri?
For routing, start with Kansas City, Missouri for OLUYOMI O OLUSANYA (MD), then verify phone and hours locally.
Why is information missing for OLUYOMI O OLUSANYA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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