SAMUEL O MAKANJUOLA (DPM) – Primary Podiatric Medicine Podiatrist, NPI 1962089904

SAMUEL O MAKANJUOLA (DPM) is a healthcare provider. based in Columbus, Ohio. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 36.004138 (OH). The NPI Number for SAMUEL O MAKANJUOLA (DPM) is 1962089904

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL O MAKANJUOLA (DPM)
NPI
1962089904
Phone
(614) 219-9727
Address
3100 PLAZA PROPERTIES BLVD STE 340
Enumeration Date
25 March 2021
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
6142199727
Graduation Year
2021 (5 years ago)
PAC ID
9739601725
Professional Enrollment ID
I20250319002720
Address ID
OH432191530CO3100XBLVD405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:5State licenses:1Digital endpointsOther names

953 PODIATRY in OH

Provider Addresses for SAMUEL O MAKANJUOLA (DPM)

  • 3100 PLAZA PROPERTIES BLVD STE 340

    COLUMBUS, OH 432191530

    Phone: (614) 219-9727

    Fax: (380) 444-3384

    Type: Mailing

  • 27100 CHARDON RD

    RICHMOND HEIGHTS, OH 441431116

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $1,153.

Total Amount is formed as General ($1,153) + Research ($0) + Ownership ($0) = $1,153.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Stryker Corporation ($268).

Total Amount

$1,153

General + Research + Ownership

Payments

14

Total payment records

General Amount

$1,153

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2025-03-19

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
I20250319002720IPodiatryOHTBD

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 43219)

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Reviews

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Frequently asked questions

Is SAMUEL O MAKANJUOLA (DPM) listed with a National Provider Identifier?
Yes — SAMUEL O MAKANJUOLA (DPM) has NPI 1962089904 on file in the registry.
Is SAMUEL O MAKANJUOLA (DPM) still an active registrant?
SAMUEL O MAKANJUOLA (DPM) carries an active NPI according to the public dataset.
What area of care is associated with SAMUEL O MAKANJUOLA (DPM)?
SAMUEL O MAKANJUOLA (DPM)'s record emphasizes Primary Podiatric Medicine Podiatrist. Clinical services aligned with this taxonomy classification.
Where in Ohio is SAMUEL O MAKANJUOLA (DPM) registered?
Use Columbus, Ohio as the headline location for SAMUEL O MAKANJUOLA (DPM) here.
When was this NPI issued?
Enumeration for SAMUEL O MAKANJUOLA (DPM) is noted as March 25, 2021 where the registry provides it.

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