IYIOLA ODUEKUN – Registered Nurse, NPI 1043654635

IYIOLA ODUEKUN is a healthcare provider. based in New york, New York. specializing in NURSE PRACTITIONER. They hold a License No. 313860 (NY). The NPI Number for IYIOLA ODUEKUN is 1043654635

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
IYIOLA ODUEKUN
NPI
1043654635
Phone
(212) 582-1900
Address
135 W 50TH ST
Enumeration Date
25 April 2013
Last Update Date
3 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7184367600
Graduation Year
2020 (6 years ago)
PAC ID
1052760261
Group Practice PAC ID
4688748320
Professional Enrollment ID
I20260206002666
Address ID
NY112301102BR175XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:13State licenses:3Digital endpointsOther names

17,004 NURSE PRACTITIONER in NY

Provider Addresses for IYIOLA ODUEKUN

  • 135 W 50TH ST

    NEW YORK, NY 100201201

    Phone: (212) 582-1900

    Mailing address matches the actual address.

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: 2026-02-06

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
I20260206002666INurse PractitionerNYTBD

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 10020)

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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: 4688748320View full group profile

Reviews

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Frequently asked questions

Can I verify IYIOLA ODUEKUN with an NPI only?
You can start verification with NPI 1043654635 for IYIOLA ODUEKUN, then check state licensing separately.
Is IYIOLA ODUEKUN listed as active for patients and plans?
The listing shows IYIOLA ODUEKUN as active in the NPI system.
What healthcare role does IYIOLA ODUEKUN hold?
Scheduling teams often label IYIOLA ODUEKUN under Registered Nurse. Clinical services aligned with this taxonomy classification.
Where is IYIOLA ODUEKUN based?
IYIOLA ODUEKUN is tied to New York, New York in the data we show; additional addresses may exist on the full record.
Is the information about IYIOLA ODUEKUN up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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