DR. ADEOLA GRACE ATILADE (M.D) – Obstetrics & Gynecology Physician, NPI 1194003111

DR. ADEOLA GRACE ATILADE (M.D) is a healthcare provider. based in Livingston, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D. They hold a License No. P8114 (TX). The NPI Number for DR. ADEOLA GRACE ATILADE (M.D) is 1194003111

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADEOLA GRACE ATILADE (M.D)
NPI
1194003111
Phone
(936) 327-5686
Address
403 OGLETREE DR
Enumeration Date
25 July 2011
Last Update Date
30 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7134861250
Graduation Year
2000 (26 years ago)
PAC ID
7618106451
Group Practice PAC ID
8426960360
Professional Enrollment ID
I20140128000059
Address ID
TX774792649SU17510SXXX515
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

Provider Addresses for DR. ADEOLA GRACE ATILADE (M.D)

  • 403 OGLETREE DR

    SUITE 205

    LIVINGSTON, TX 773519444

    Phone: (936) 327-5686

    Fax: (936) 327-8833

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-01-28

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
I20140128000059IObstetrics/GynecologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77351)

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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: 8426960360View full group profile
NameSpecialtyState
Emergency MedicineIL
Anesthesiology, Critical Care (Intensivists)TX
A N E S T H E S I O L O G YTX
-TX
Diagnostic RadiologyTX
Physician AssistantTX
Certified Nurse Midwife (Cnm)TX
O T O L A R Y N G O L O G YTX
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

How do payers reference DR. ADEOLA GRACE ATILADE (M.D)?
For DR. ADEOLA GRACE ATILADE (M.D), use NPI 1194003111 as the unique 10-digit identifier.
Is DR. ADEOLA GRACE ATILADE (M.D) still an active registrant?
DR. ADEOLA GRACE ATILADE (M.D) carries an active NPI according to the public dataset.
What kind of doctor is DR. ADEOLA GRACE ATILADE (M.D)?
DR. ADEOLA GRACE ATILADE (M.D) is associated with Obstetrics & Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is DR. ADEOLA GRACE ATILADE (M.D) registered?
Use Livingston, Texas as the headline location for DR. ADEOLA GRACE ATILADE (M.D) here.
Does DR. ADEOLA GRACE ATILADE (M.D) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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