MOBOLAJI ODELOWO (MD) – Vascular & Interventional Radiology Physician, NPI 1073562419
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
450 INTERVENTIONAL RADIOLOGY in TX
Provider Addresses for MOBOLAJI ODELOWO (MD)
600 S CONROE MEDICAL DR STE 102
CONROE, TX 773045341
Phone: (936) 539-4031
Fax: (936) 539-4537
Type: Mailing
2600 Saint Michael Dr
Texarkana, TX 755032372
Phone: (903) 614-1000
Type: Location
100 Medical Center Blvd
Suite 118
Conroe, TX 773042888
Phone: (936) 539-4031
Fax: (936) 539-4537
Type: Location
100, Medical Center Boulevard, Conroe, Montgomery County, Texas, 77304, United States
SUITE 118
CONROE, TX 773042888
Phone: (936) 539-4031
Fax: (936) 539-4537
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $3,426.
Total Amount is formed as General ($3,426) + Research ($0) + Ownership ($0) = $3,426.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Medtronic, Inc. ($1,866).
Total Amount
$3,426
General + Research + Ownership
Payments
41
Total payment records
General Amount
$3,426
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,866 |
| Inari Medical, Inc. | $500 |
| Nevro Corp. | $417 |
| Terumo Medical Corporation | $126 |
| Penumbra, Inc. | $124 |
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: 2005-01-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050111000318 | I | Interventional Radiology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 196 | 89 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 161 | 90 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 117 | 83 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 103 | 103 | $0 |
| 71045 | X-ray of chest, 1 view | 88 | 85 | $0 |
Insurance plans in this area (ZIP 77304)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | TX | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | TX | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| Cardiovascular Disease (Cardiology) | TX |
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