OLUWATOSIN O SODE ADELOWO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1720754393

OLUWATOSIN O SODE ADELOWO (CRNA) is a healthcare provider. based in Mt juliet, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 33218 (TN). The NPI Number for OLUWATOSIN O SODE ADELOWO (CRNA) is 1720754393

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
OLUWATOSIN O SODE ADELOWO (CRNA)
NPI
1720754393
Phone
(708) 288-6594
Address
1042 KELSEY GLEN DR
Enumeration Date
23 August 2021
Last Update Date
14 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2816447000
Graduation Year
2022 (4 years ago)
PAC ID
7719141928
Group Practice PAC ID
7315850351
Professional Enrollment ID
I20230829002830
Address ID
TX774941323KA23900FWYX300

Contacts

Secure Messaging
osode584707@direct.vumc.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Other namesUpdated within 12 months

2,753 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

Provider Addresses for OLUWATOSIN O SODE ADELOWO (CRNA)

  • 1042 KELSEY GLEN DR

    MT JULIET, TN 371228562

    Phone: (708) 288-6594

    Type: Mailing

  • 3601 The Vanderbilt Clinic

    Nashville, TN 372328562

    Phone: (615) 322-5000

    Type: Location

  • 1042 Kelsey Glen Dr

    MT Juliet, TN 371228562

    Phone: (708) 288-6594

    Type: Location

  • PO BOX 840853

    DALLAS, TX 752842691

    Phone: (972) 233-1999

    Fax: (972) 233-3666

    Type: Mailing

  • 12222 MERIT DR STE 600

    DALLAS, TX 752513294

    Phone: (972) 715-5000

    Fax: (972) 715-9976

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($109).

Total Amount

$133

General + Research + Ownership

Payments

8

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2023-08-29

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
I20230829002830ICertified Registered Nurse Anesthetist (Crna)TXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 37122)

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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: 7315850351View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
-TX
-TX
-TX
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

What number should I use to identify OLUWATOSIN O SODE ADELOWO (CRNA) for billing?
Administrative and clinical systems typically use NPI 1720754393 for OLUWATOSIN O SODE ADELOWO (CRNA).
Should I treat OLUWATOSIN O SODE ADELOWO (CRNA) as an active provider?
Patients and plans typically see OLUWATOSIN O SODE ADELOWO (CRNA) as active in the national extract.
What services align with OLUWATOSIN O SODE ADELOWO (CRNA)'s listing?
OLUWATOSIN O SODE ADELOWO (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to OLUWATOSIN O SODE ADELOWO (CRNA)?
The directory associates OLUWATOSIN O SODE ADELOWO (CRNA) with Mt Juliet, Tennessee. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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