OSCAR ANYABOLU – Surgical Physician Assistant, NPI 1063295137
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,497 PHYSICIAN ASSISTANT in TX
Provider Addresses for OSCAR ANYABOLU
2001 N JEFFERSON AVE STE 100
MOUNT PLEASANT, TX 754551104
Phone: (903) 577-6787
Fax: (903) 434-8072
Type: Location
2001 N Jefferson Ave Ste 100
Mount Pleasant, TX 754551104
Phone: (903) 577-6787
Fax: (903) 434-8072
Type: Location
1075 E Betteravia Rd Ste 201
Santa Maria, CA 934547023
Phone: (805) 621-7651
Fax: (805) 357-9333
Type: Location
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 934547023
Phone: (805) 621-7651
Fax: (805) 357-9333
Type: Mailing
3136 HORIZON RD STE 100
ROCKWALL, TX 750327808
Phone: (972) 475-8914
Fax: (855) 364-4959
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-11-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240312001687 | I | Physician Assistant | FL | TBD |
| I20241101003549 | I | Physician Assistant | TX | TBD |
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.
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 75455)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| - | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| - | TX | |
| - | TX | |
| Physician Assistant | TX |
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