ABAYOMI OGUNDERU (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1346656741

ABAYOMI OGUNDERU (MD) is a healthcare provider. based in Moraine, Ohio. specializing in CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35.130271 (OH). The NPI Number for ABAYOMI OGUNDERU (MD) is 1346656741

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
ABAYOMI OGUNDERU (MD)
NPI
1346656741
Phone
(937) 991-3188
Address
3170 KETTERING BLVD BLDG B3
Enumeration Date
7 July 2014
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5135852000
Graduation Year
2009 (17 years ago)
PAC ID
5991074080
Group Practice PAC ID
1658449715
Professional Enrollment ID
I20170705002306
Address ID
OH452192906CI2139XAVEX300

Contacts

Secure Messaging
aogunderu760105@direct.ketteringhealth.org
FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Secure Messaging
aogunderu17859@lickingmemorial.medicity.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness95
Years active:11State licenses:2Other names

896 CRITICAL CARE (INTENSIVISTS) in OH

Provider Addresses for ABAYOMI OGUNDERU (MD)

  • 3170 KETTERING BLVD BLDG B3

    MORAINE, OH 454391924

    Phone: (937) 991-3188

    Fax: (937) 223-9811

    Type: Mailing

  • 30 E APPLE ST STE NW3300

    DAYTON, OH 454092939

    Phone: (937) 208-8394

    Fax: (937) 208-8388

    Type: Location

  • PO BOX 635283

    CINCINNATI, OH 452635283

    Phone: (859) 757-2927

    Fax: (859) 341-0203

    Type: Mailing

  • 1 MEDICAL VILLAGE DR

    EDGEWOOD, KY 410173403

    Phone: (859) 757-2927

    Fax: (859) 341-0203

    Type: Location

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 453426115

    Phone: (937) 762-1310

    Fax: (937) 522-8068

    Type: Mailing

  • 600 W MAIN ST

    TROY, OH 453733384

    Phone: (937) 395-6665

    Fax: (937) 395-6668

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($29).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

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: 2025-07-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170705002306IInternal MedicineOHTBD
I20250721004074ICritical Care (Intensivists)KYTBD

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 45439)

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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: 1658449715View full group profile
NameSpecialtyState
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology)OH
Nurse PractitionerOH
Thoracic SurgeryOH
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
Interventional Cardiology, Cardiovascular Disease (Cardiology)OH
-NY
Physician AssistantKY
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I verify ABAYOMI OGUNDERU (MD) with an NPI only?
You can start verification with NPI 1346656741 for ABAYOMI OGUNDERU (MD), then check state licensing separately.
Does the file indicate ABAYOMI OGUNDERU (MD) is practicing under active NPI?
Directory data currently reports ABAYOMI OGUNDERU (MD) as active.
What is ABAYOMI OGUNDERU (MD)'s specialty?
The listing groups ABAYOMI OGUNDERU (MD) with Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where should I expect ABAYOMI OGUNDERU (MD) on a map?
Expect Moraine, Ohio as a primary anchor for ABAYOMI OGUNDERU (MD) unless the record lists multiple sites.
Why does ABAYOMI OGUNDERU (MD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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