ABIODUN FATIMA BALOGUN (MD) – Pediatrics Physician, NPI 1356332845

ABIODUN FATIMA BALOGUN (MD) is a healthcare provider. based in Ada, Oklahoma. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 19061 (MS). The NPI Number for ABIODUN FATIMA BALOGUN (MD) is 1356332845

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
ABIODUN FATIMA BALOGUN (MD)
NPI
1356332845
Phone
(580) 436-3980
Address
1921 STONECIPHER BLVD
Enumeration Date
2 November 2005
Last Update Date
6 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
5193972412
Professional Enrollment ID
I20250829000933
Address ID
TN372152021Na3416XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness75
Years active:20State licenses:4Digital endpointsOther names

261 PEDIATRIC MEDICINE in OK

Loading map...

Provider Addresses for ABIODUN FATIMA BALOGUN (MD)

  • Chickasaw Nation Medical Center, 1921, Stonecipher Boulevard, Ada, Pontotoc County, Oklahoma, 74820, United States

    ADA, OK 74820

    Phone: (580) 436-3980

    Fax: (580) 421-6283

    Type: Mailing

  • 181 FRANKLIN HEALTH CMNS

    FARMINGTON, ME 049386144

    Phone: (207) 778-0482

    Fax: (207) 778-0133

    Type: Mailing

  • 1921 Stonecipher Blvd

    Ada, OK 74820

    Phone: (580) 436-3980

    Fax: (580) 421-6283

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-06-26 • Largest payer in this snapshot: ABBVIE INC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$15
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: 2025-08-29

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
I20250110002951IPediatric MedicineMETBD
I20250829000933IPediatric MedicineVATBD

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 74820)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up ABIODUN FATIMA BALOGUN (MD) by NPI?
Use NPI 1356332845 when you need to reference ABIODUN FATIMA BALOGUN (MD) in forms, claims, or directories.
Does this profile mean ABIODUN FATIMA BALOGUN (MD) is currently active?
Yes — ABIODUN FATIMA BALOGUN (MD) appears active in the national provider directory.
Does ABIODUN FATIMA BALOGUN (MD) list a primary specialty?
If you are matching referrals, note Pediatrics Physician for ABIODUN FATIMA BALOGUN (MD). Clinical services aligned with this taxonomy classification.
What location shows for ABIODUN FATIMA BALOGUN (MD)?
We surface Ada, Oklahoma for ABIODUN FATIMA BALOGUN (MD) based on available NPPES addresses.
Is ABIODUN FATIMA BALOGUN (MD) a real provider?
This page reflects official NPPES data for NPI 1356332845. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

DR. KARINA JANDZISZAK (D.O.)

Pediatrics Physician
Chickasaw Nation Medical Center, 1921, Stonecipher Boulevard, Ada, Pontotoc County, Oklahoma, 74820, United States
NPI: 1841282399

RONALD D BULLARD (MD)

Pediatrics Physician
1305, Bear Mountain Boulevard, Arvin, Kern County, California, 93203, United States
NPI: 1376532846

HUMBERTO QUINTERO (MD)

Pediatrics Physician
Chickasaw Nation Medical Center, 1921, Stonecipher Boulevard, Ada, Pontotoc County, Oklahoma, 74820, United States
NPI: 1821074691

STEFAN IORGA (MD)

Pediatrics Physician
2020 ARLINGTON ST STE 2
NPI: 1023095551

MS. LAURA K SOPER (P.A.)

Family Medicine Physician
Mercy Hospital Ada, 430, North Monte Vista Street, Ada, Pontotoc County, Oklahoma, 74820, United States
NPI: 1558308601

RUTH ANN WEESNER (MD)

Pediatrics Physician
1414, Arlington Street, Ada, Pontotoc County, Oklahoma, 74820, United States
NPI: 1760565063

STEPHEN O'GRADY (MD)

Pediatrics Physician
1221 ARLINGTON ST STE B
NPI: 1699842161

LISA CHRISTINE HOFFMAN (MD)

Pediatrics Physician
1925 WARRIOR WAY
NPI: 1467593210
Monte Vista, Boise, Ada County, Idaho, United States
NPI: 1235466947