DR. AYOTOKUNBO OLOSUNDE (MD) – Gastroenterology Physician, NPI 1548407034

DR. AYOTOKUNBO OLOSUNDE (MD) is a healthcare provider. based in Texarkana, Texas. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. P1121 (TX). The NPI Number for DR. AYOTOKUNBO OLOSUNDE (MD) is 1548407034

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. AYOTOKUNBO OLOSUNDE (MD)
NPI
1548407034
Phone
(903) 614-3000
Address
5002 COWHORN CREEK RD
Enumeration Date
21 January 2009
Last Update Date
9 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
90379280302080
Graduation Year
2010 (16 years ago)
PAC ID
4587796396
Group Practice PAC ID
0345212817
Professional Enrollment ID
I20140721002046
Address ID
TX755034660TE1920XLNXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,498 GASTROENTEROLOGY in TX

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Provider Addresses for DR. AYOTOKUNBO OLOSUNDE (MD)

  • 5002, Cowhorn Creek Road, Texarkana, Bowie County, Texas, 75503, United States

    TEXARKANA, TX 755039766

    Phone: (903) 614-3000

    Fax: (903) 614-3525

    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)

CMS reports 94 Open Payments records for all available years, with a total value of $1,432.

Total Amount is formed as General ($1,432) + Research ($0) + Ownership ($0) = $1,432.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($593).

Total Amount

$1,432

General + Research + Ownership

Payments

94

Total payment records

General Amount

$1,432

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2014-07-21

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
I20140721002046IGastroenterologyTXTBD

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare239236$0
99213Established patient office or other outpatient visit, 20-29 minutes169130$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope147146$0
36415Insertion of needle into vein for collection of blood sample6860$0
99214Established patient office or other outpatient visit, 30-39 minutes5750$0
View full utilization report →

Insurance plans in this area (ZIP 75503)

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Provider's Procedures

DR. AYOTOKUNBO OLOSUNDE (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYTX43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope2020
GASTROENTEROLOGYTX45378Diagnostic examination of large bowel using an endoscope2525
GASTROENTEROLOGYTX85610Blood test, clotting time1413

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: 0345212817View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Gastroenterology, Internal MedicineTX
G A S T R O E N T E R O L O G YUT
Certified Registered Nurse Anesthetist (Crna)TX
Gastroenterology, Internal MedicineTX
G A S T R O E N T E R O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

How is DR. AYOTOKUNBO OLOSUNDE (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. AYOTOKUNBO OLOSUNDE (MD) with NPI 1548407034.
Does the file indicate DR. AYOTOKUNBO OLOSUNDE (MD) is practicing under active NPI?
Directory data currently reports DR. AYOTOKUNBO OLOSUNDE (MD) as active.
What is DR. AYOTOKUNBO OLOSUNDE (MD)'s specialty?
The listing groups DR. AYOTOKUNBO OLOSUNDE (MD) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. AYOTOKUNBO OLOSUNDE (MD) on a map?
Expect Texarkana, Texas as a primary anchor for DR. AYOTOKUNBO OLOSUNDE (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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