DR. OLADELE O OLUSANYA (MD) – Family Medicine Physician, NPI 1073542429

DR. OLADELE O OLUSANYA (MD) is a healthcare provider. based in Dallas, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. K8398 (TX). The NPI Number for DR. OLADELE O OLUSANYA (MD) is 1073542429

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. OLADELE O OLUSANYA (MD)
NPI
1073542429
Phone
(972) 230-5601
Address
8067 WEST VIRGINIA DR
Enumeration Date
30 June 2006
Last Update Date
19 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9722305601
Graduation Year
1976 (50 years ago)
PAC ID
6800887886
Group Practice PAC ID
4880968353
Professional Enrollment ID
I20040519000700
Address ID
TX752373767DA8067XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for DR. OLADELE O OLUSANYA (MD)

  • 8067, West Virginia Drive, Dallas, Dallas County, Texas, 75237, United States

    DALLAS, TX 752373767

    Phone: (972) 230-5601

    Fax: (972) 230-5591

    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 31 Open Payments records for all available years, with a total value of $558.

Total Amount is formed as General ($558) + Research ($0) + Ownership ($0) = $558.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($159).

Total Amount

$558

General + Research + Ownership

Payments

31

Total payment records

General Amount

$558

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2004-05-19

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
I20040519000700IFamily PracticeTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes15661$0
99091Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days12120$0
99213Established patient office or other outpatient visit, 20-29 minutes7345$0
View full utilization report →

Insurance plans in this area (ZIP 75237)

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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: 4880968353View full group profile
NameSpecialtyState
Family PracticeTX
Family PracticeCA
Nurse PractitionerTX

Reviews

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

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Frequently asked questions

How is DR. OLADELE O OLUSANYA (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. OLADELE O OLUSANYA (MD) with NPI 1073542429.
Can I rely on DR. OLADELE O OLUSANYA (MD) being an active provider?
As of the registry snapshot, DR. OLADELE O OLUSANYA (MD) is marked active.
What healthcare role does DR. OLADELE O OLUSANYA (MD) hold?
Scheduling teams often label DR. OLADELE O OLUSANYA (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. OLADELE O OLUSANYA (MD) based?
DR. OLADELE O OLUSANYA (MD) is tied to Dallas, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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