DR. SUWEBATU T ODUNSI-SHIYANBADE (M.D.) – Gastroenterology Physician, NPI 1427141746
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,498 GASTROENTEROLOGY in TX
Provider Addresses for DR. SUWEBATU T ODUNSI-SHIYANBADE (M.D.)
920 HWY 287 N, STE 308
MANSFIELD, TX 76063
Phone: (817) 760-7969
Fax: (817) 760-7976
Type: Mailing
PO BOX 35629
DALLAS, TX 752350629
Phone: (214) 424-2213
Fax: (142) 312-1592
Type: Mailing
647 N MILLER RD STE B
MANSFIELD, TX 760636180
Phone: (817) 760-7969
Fax: (817) 760-7976
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 132 Open Payments records for all available years, with a total value of $2,483.
Total Amount is formed as General ($2,483) + Research ($0) + Ownership ($0) = $2,483.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($691).
Total Amount
$2,483
General + Research + Ownership
Payments
132
Total payment records
General Amount
$2,483
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
2
Ownership records
Last Payment Date
2024-12-12
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: 2007-03-02
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 |
|---|---|---|---|---|
| I20070302000321 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 118 | 99 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 47 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 40 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 40 | 40 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 36 | 35 | $0 |
Insurance plans in this area (ZIP 76063)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | TX | 45385 | Removal of polyps or growths of large bowel using an endoscope | 24 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | TX | |
| Gastroenterology, Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine, Gastroenterology | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| Gastroenterology, Internal Medicine | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| G A S T R O E N T E R O L O G Y | LA | |
| Gastroenterology, Internal Medicine | TX |
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