OLUBADEWA FATUNDE (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1174942643

OLUBADEWA FATUNDE (MD) is a healthcare provider. based in Tyler, Texas. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 60929 (AZ). The NPI Number for OLUBADEWA FATUNDE (MD) is 1174942643

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
OLUBADEWA FATUNDE (MD)
NPI
1174942643
Phone
(903) 877-7777
Address
11937 US HIGHWAY 271
Enumeration Date
14 April 2014
Last Update Date
25 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
4808356100
Graduation Year
2014 (12 years ago)
PAC ID
0547539587
Group Practice PAC ID
2062303076
Professional Enrollment ID
I20200629001570
Address ID
AZ852061749ME6750XAVEX402

Contacts

Secure Messaging
ofatunde1214214@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness95
Years active:12State licenses:2Other names

276 CARDIAC ELECTROPHYSIOLOGY in TX

Provider Addresses for OLUBADEWA FATUNDE (MD)

  • 11937 US HIGHWAY 271

    TYLER, TX 757083154

    Phone: (903) 877-7777

    Type: Mailing

  • 700 E MARSHALL AVE

    LONGVIEW, TX 756015580

    Phone: (903) 877-7777

    Type: Location

  • 5777 E Mayo Blvd

    Phoenix, AZ 850544502

    Phone: (480) 342-1800

    Type: Location

  • 700 E Marshall Ave

    Longview, TX 756015580

    Phone: (903) 877-7777

    Type: Location

  • 6343 E MAIN ST STE 12

    MESA, AZ 852058955

    Phone: (480) 835-6100

    Fax: (480) 461-4243

    Type: Mailing

  • 6750 E BAYWOOD AVE STE 301

    MESA, AZ 852061749

    Phone: (480) 835-6100

    Fax: (480) 461-4243

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $22,251.

Total Amount is formed as General ($22,251) + Research ($0) + Ownership ($0) = $22,251.

Last reported payment date: 2024-12-01 • Largest payer in this snapshot: Medtronic, Inc. ($17,896).

Total Amount

$22,251

General + Research + Ownership

Payments

79

Total payment records

General Amount

$22,251

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-01

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: 2020-06-29

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
I20200629001570ICardiac ElectrophysiologyAZTBD

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 minutes2020$0
99215Established patient office or other outpatient visit, 40-54 minutes1612$0
View full utilization report →

Insurance plans in this area (ZIP 75708)

Loading plans...

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: 2062303076View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Cardiovascular Disease (Cardiology)AZ
Cardiovascular Disease (Cardiology)AZ
Interventional Cardiology, Cardiovascular Disease (Cardiology)AZ
Cardiovascular Disease (Cardiology), Internal MedicineAZ
Nurse PractitionerAZ
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyAZ
Nurse PractitionerAZ
Nurse PractitionerAZ
Interventional Cardiology, Cardiovascular Disease (Cardiology)AZ

Reviews

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

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does OLUBADEWA FATUNDE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — OLUBADEWA FATUNDE (MD) uses 1174942643.
Does CMS list OLUBADEWA FATUNDE (MD) as active?
Yes — OLUBADEWA FATUNDE (MD) is active in the NPI listing used on this page.
What taxonomy line describes OLUBADEWA FATUNDE (MD)?
For research purposes, treat OLUBADEWA FATUNDE (MD) as Clinical Cardiac Electrophysiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does OLUBADEWA FATUNDE (MD) list a practice location?
Patients near Tyler, Texas may find OLUBADEWA FATUNDE (MD) in results; validate coverage separately.
How many locations tie to this NPI?
6 practice locations appear in the available data.

Similar Providers

TYLER CARDIOVASCULAR CONSULTANTS P.A.

Cardiovascular Disease Physician
McDonald Road, Tyler, Smith County, Texas, 75713, United States
NPI: 1376538801

DR. STANISLAV WEINER (MD)

Clinical Cardiac Electrophysiology Physician
520, East Douglas Boulevard, Tyler, Smith County, Texas, 75702, United States
NPI: 1003801705

ALEXANDRE A PETRAKIAN (MD)

Clinical Cardiac Electrophysiology Physician
1108 S Buffalo St
NPI: 1811987654

CARDIOVASCULAR ASSOCIATES OF EAST TEXAS PA

Cardiovascular Disease Physician
1783, Troup Highway, Tyler, Smith County, Texas, 75701, United States
NPI: 1447212303

DR. JOHN BRYAN SIMS (M.D.)

Clinical Cardiac Electrophysiology Physician
2001 N Jefferson Ave Ste 204B
NPI: 1801913710

RAUL ALEXIS TORRES HEISECKE (M.D.)

Clinical Cardiac Electrophysiology Physician
2608, McDonald Road, Tyler, Smith County, Texas, 75701, United States
NPI: 1952518813

DR. ASHISH GANGASANI (M.D.)

Clinical Cardiac Electrophysiology Physician
2608 MCDONALD RD
NPI: 1497952683