DR. MOBOLAJI M OPEOLA (M.D.) – Dermatology Physician, NPI 1578762563

DR. MOBOLAJI M OPEOLA (M.D.) is a healthcare provider. based in San antonio, Texas. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. M9555 (TX). The NPI Number for DR. MOBOLAJI M OPEOLA (M.D.) is 1578762563

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOBOLAJI M OPEOLA (M.D.)
NPI
1578762563
Phone
(830) 276-2600
Address
9018 CULEBRA RD STE 104
Enumeration Date
11 July 2007
Last Update Date
30 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8302762600
Graduation Year
2004 (22 years ago)
PAC ID
6002978293
Group Practice PAC ID
4789968835
Professional Enrollment ID
I20081223000052
Address ID
TX782512891SA9018XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

Provider Addresses for DR. MOBOLAJI M OPEOLA (M.D.)

  • 9018 CULEBRA RD STE 104

    SAN ANTONIO, TX 782512891

    Phone: (830) 276-2600

    Fax: (830) 276-2626

    Type: Location

  • 12702 Toepperwein Rd Ste 135

    Live Oak, TX 782333250

    Phone: (830) 276-2600

    Fax: (830) 276-2626

    Type: Location

  • 11212 STATE HIGHWAY 151

    MEDICAL PLAZA 1, STE 320

    SAN ANTONIO, TX 782514498

    Phone: (830) 276-2600

    Fax: (830) 276-2626

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 601 Open Payments records for all available years, with a total value of $46,412.

Total Amount is formed as General ($46,412) + Research ($0) + Ownership ($0) = $46,412.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($11,223).

Total Amount

$46,412

General + Research + Ownership

Payments

601

Total payment records

General Amount

$46,412

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2008-12-23

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
I20081223000052IDermatologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,283227$0
99214Established patient office or other outpatient visit, 30-39 minutes1,041593$0
99213Established patient office or other outpatient visit, 20-29 minutes608428$0
17000Destruction of precancer skin growth, 1 growth414320$0
17110Destruction of skin growth, 1-14 growths351281$0
View full utilization report →

Insurance plans in this area (ZIP 78251)

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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: 4789968835View full group profile
NameSpecialtyState
Physician AssistantTX
-TX
D E R M A T O L O G YUT

Reviews

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Frequently asked questions

Can I cross-check DR. MOBOLAJI M OPEOLA (M.D.) using NPI 1578762563?
NPI 1578762563 belongs to DR. MOBOLAJI M OPEOLA (M.D.); compare other details if you need extra assurance.
Is DR. MOBOLAJI M OPEOLA (M.D.) shown as active in public data?
Registry records indicate DR. MOBOLAJI M OPEOLA (M.D.) maintains an active NPI.
How would a patient describe DR. MOBOLAJI M OPEOLA (M.D.)'s focus?
For DR. MOBOLAJI M OPEOLA (M.D.), the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is DR. MOBOLAJI M OPEOLA (M.D.) associated with San Antonio?
Public fields place DR. MOBOLAJI M OPEOLA (M.D.) around San Antonio, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. MOBOLAJI M OPEOLA (M.D.) is noted as July 11, 2007 where the registry provides it.

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