MR. OLUMIDE BABATOPE OGUNWUMI (PA-C) – Physician Assistant, NPI 1245795236
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for MR. OLUMIDE BABATOPE OGUNWUMI (PA-C)
4515 MAYFIELD RD
SOUTH EUCLID, OH 441214016
Phone: (855) 583-5363
Fax: (855) 631-1037
Type: Mailing
28726, Forest Road, Willowick, Lake County, Ohio, 44095, United States
WILLOWICK, OH 440955019
Phone: (330) 881-2713
Type: Mailing
University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States
ROOM 3001, LERNER TOWER 3
CLEVELAND, OH 44106
Phone: (216) 593-5500
Type: Location
21851 Center Ridge Rd Ste 109
Rocky River, OH 441163901
Phone: (440) 331-5488
Type: Location
2500 Metrohealth Dr
Cleveland, OH 441091900
Phone: (216) 778-7800
Type: Location
2500 METROHEALTH DR
CLEVELAND, OH 441091900
Phone: (330) 881-2713
Type: Mailing
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: 2019-04-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190424001365 | I | Physician Assistant | OH | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 41 | 40 | $0 |
Insurance plans in this area (ZIP 44121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH |
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