OLUSEGUN WILDE (MD) – Emergency Medicine Physician, NPI 1467416727

OLUSEGUN WILDE (MD) is a healthcare provider. based in Dallas, Texas. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 20050127 (NM). The NPI Number for OLUSEGUN WILDE (MD) is 1467416727

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
OLUSEGUN WILDE (MD)
NPI
1467416727
Phone
(866) 916-5259
Address
PO BOX 840186
Enumeration Date
13 April 2006
Last Update Date
1 November 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6827383460
Graduation Year
1995 (31 years ago)
PAC ID
6608864020
Professional Enrollment ID
I20070727000563
Address ID
TX760395505EU1201XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

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Provider Addresses for OLUSEGUN WILDE (MD)

  • PO BOX 840186

    DALLAS, TX 752840186

    Phone: (866) 916-5259

    Fax: (231) 922-4030

    Type: Mailing

  • Baptist Saint Anthony's Health System, 1600, Wallace Boulevard, Amarillo, Potter County, Texas, 79106, United States

    AMARILLO, TX 791061799

    Phone: (505) 894-2111

    Fax: (505) 894-7659

    Type: Location

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: 2020-03-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070727000563IEmergency MedicineTXTBD
I20200330000031IEmergency MedicineOKTBD

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
99285Emergency department visit with high level of medical decision making185180$0
99284Emergency department visit with moderate level of medical decision making8985$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4947$0
99291Critical care, first 30-74 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Reviews

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Frequently asked questions

What is the registry number for OLUSEGUN WILDE (MD)?
The registry entry for OLUSEGUN WILDE (MD) shows NPI 1467416727.
Does the public listing show OLUSEGUN WILDE (MD) as active?
OLUSEGUN WILDE (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret OLUSEGUN WILDE (MD)'s specialty?
The extract shows Emergency Medicine Physician for OLUSEGUN WILDE (MD). Clinical services aligned with this taxonomy classification.
What city is tied to OLUSEGUN WILDE (MD)?
The directory associates OLUSEGUN WILDE (MD) with Dallas, Texas. Check all listed addresses for suites or satellite offices.
Who maintains OLUSEGUN WILDE (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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