TITILOLA SODE – Dermatopathology Physician, NPI 1003203381

TITILOLA SODE is a healthcare provider. based in Dallas, Texas. specializing in DERMATOLOGY. They hold a License No. S5781 (TX). The NPI Number for TITILOLA SODE is 1003203381

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
TITILOLA SODE
NPI
1003203381
Phone
(214) 420-0650
Address
5310 HARVEST HILL RD
Enumeration Date
23 April 2015
Last Update Date
4 May 2020

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7702515111
Graduation Year
2015 (11 years ago)
PAC ID
9335570100
Group Practice PAC ID
6800798182
Professional Enrollment ID
I20220524000614
Address ID
GA302816333ST110XXWALK300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

Provider Addresses for TITILOLA SODE

  • 5310 HARVEST HILL RD

    STE 290

    DALLAS, TX 752305826

    Phone: (214) 420-0650

    Fax: (214) 736-0512

    Type: Mailing

  • 5323 HARRY HINES BLVD

    DALLAS, TX 753907708

    Phone: (214) 590-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 184 Open Payments records for all available years, with a total value of $5,494.

Total Amount is formed as General ($5,494) + Research ($0) + Ownership ($0) = $5,494.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($1,383).

Total Amount

$5,494

General + Research + Ownership

Payments

184

Total payment records

General Amount

$5,494

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2022-05-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220524000614IDermatologyGATBD

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
17003Destruction of precancer skin growth, 2-14 growths25145$0
88305Pathology examination of tissue using a microscope, intermediate complexity184138$0
99213Established patient office or other outpatient visit, 20-29 minutes11296$0
99214Established patient office or other outpatient visit, 30-39 minutes7668$0
17000Destruction of precancer skin growth, 1 growth7466$0
View full utilization report →

Insurance plans in this area (ZIP 75230)

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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: 6800798182View full group profile
NameSpecialtyState
-GA
-GA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
Physician AssistantIN
D E R M A T O L O G YGA
Physician AssistantTX
Physician AssistantTX
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

Is TITILOLA SODE listed with a National Provider Identifier?
Yes — TITILOLA SODE has NPI 1003203381 on file in the registry.
Active or inactive — what applies to TITILOLA SODE?
You should see TITILOLA SODE as active in CMS-hosted NPPES data.
What expertise is attributed to TITILOLA SODE?
TITILOLA SODE's specialty line reads Dermatopathology Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is TITILOLA SODE registered?
Use Dallas, Texas as the headline location for TITILOLA SODE here.
When was this NPI issued?
Enumeration for TITILOLA SODE is noted as April 23, 2015 where the registry provides it.

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