ADEBOLA ADEFUYE (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1073094165

ADEBOLA ADEFUYE (NURSE PRACTITIONER) is a healthcare provider. based in Bellaire, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. AP137779 (TX). The NPI Number for ADEBOLA ADEFUYE (NURSE PRACTITIONER) is 1073094165

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
ADEBOLA ADEFUYE (NURSE PRACTITIONER)
NPI
1073094165
Phone
(713) 314-4311
Address
5410 WEST LOOP S
Enumeration Date
27 August 2018
Last Update Date
27 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8137734106
Graduation Year
2017 (9 years ago)
PAC ID
8224496997
Group Practice PAC ID
9335504539
Professional Enrollment ID
I20231024002056
Address ID
FL336147147TA4728XAVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for ADEBOLA ADEFUYE (NURSE PRACTITIONER)

  • West Loop South, Bellaire, Harris County, Texas, 77027, United States

    BELLAIRE, TX 774012103

    Phone: (713) 314-4311

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-01-07 • Largest payer in this snapshot: Boston Scientific Corporation ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-07

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: 2024-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 13 Medicare enrollment records; no due dates published yet.

Enrollment records

13

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
I20230628001351INurse PractitionerTXTBD
I20231023002996INurse PractitionerMITBD
I20231024002056INurse PractitionerFLTBD
I20231222001243INurse PractitionerCTTBD
I20240530003603INurse PractitionerWATBD
I20240605002138INurse PractitionerAZTBD
I20240612003279INurse PractitionerPATBD
I20240708002807INurse PractitionerNMTBD
I20240802001547INurse PractitionerARTBD
I20240809003152INurse PractitionerCATBD
I20240926003911INurse PractitionerINTBD
I20241012000179INurse PractitionerOHTBD
I20241101002145INurse PractitionerILTBD

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
11042Removal of skin and tissue, 20.0 sq cm or less5822$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes4717$0
99342Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 77401)

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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: 9335504539View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerCA
Nurse PractitionerTN
Nurse PractitionerCA

Reviews

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Frequently asked questions

Is ADEBOLA ADEFUYE (NURSE PRACTITIONER) listed with a National Provider Identifier?
Yes — ADEBOLA ADEFUYE (NURSE PRACTITIONER) has NPI 1073094165 on file in the registry.
Is there an active status for ADEBOLA ADEFUYE (NURSE PRACTITIONER)?
For scheduling context, ADEBOLA ADEFUYE (NURSE PRACTITIONER) is shown as active in the registry.
What clinical focus is listed for ADEBOLA ADEFUYE (NURSE PRACTITIONER)?
At a glance, ADEBOLA ADEFUYE (NURSE PRACTITIONER) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with ADEBOLA ADEFUYE (NURSE PRACTITIONER)?
Directory geography for ADEBOLA ADEFUYE (NURSE PRACTITIONER) centers on Bellaire, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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