KIKELOMO OMOLOLA DAWOTOLA (FNP) – Family Nurse Practitioner, NPI 1093285504
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for KIKELOMO OMOLOLA DAWOTOLA (FNP)
1008, Angie Lane, Pleasant Run, De Soto, DeSoto, Dallas County, Texas, 75115, United States
DESOTO, TX 751153870
Phone: (214) 281-9480
Type: Location
1008 Angie Ln
DeSoto, TX 751153870
Phone: (214) 281-9480
Type: Location
3330 S LANCASTER RD
DALLAS, TX 752164531
Phone: (214) 743-1200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $1,453.
Total Amount is formed as General ($1,453) + Research ($0) + Ownership ($0) = $1,453.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($319).
Total Amount
$1,453
General + Research + Ownership
Payments
65
Total payment records
General Amount
$1,453
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-06-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20230201000034 | I | Nurse Practitioner | TX | TBD |
| I20250226001228 | I | Nurse Practitioner | CT | TBD |
| I20250228003470 | I | Nurse Practitioner | WA | TBD |
| I20250303001916 | I | Nurse Practitioner | IA | TBD |
| I20250624003969 | I | Nurse Practitioner | AZ | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 125 | 78 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 48 | 36 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 36 | 16 | $0 |
Insurance plans in this area (ZIP 75115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX | |
| P S Y C H I A T R Y | TX | |
| P S Y C H I A T R Y | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
Reviews
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