SEGUN BASIRU AWOSEMO (MD) – Internal Medicine Physician, NPI 1619085321

SEGUN BASIRU AWOSEMO (MD) is a healthcare provider. based in Big spring, Texas. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. L5666 (TX). The NPI Number for SEGUN BASIRU AWOSEMO (MD) is 1619085321

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
SEGUN BASIRU AWOSEMO (MD)
NPI
1619085321
Phone
(432) 853-4092
Address
300 W VETERANS BLVD
Enumeration Date
25 August 2006
Last Update Date
9 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4322631211
Graduation Year
1988 (38 years ago)
PAC ID
4880654680
Group Practice PAC ID
7810117223
Professional Enrollment ID
I20110928000327
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SEGUN BASIRU AWOSEMO (MD)

  • West Texas VA Medical Center, 300, West Veterans Boulevard, Edwards Heights, Big Spring, Howard County, Texas, 79720, United States

    BIG SPRING, TX 797205566

    Phone: (432) 853-4092

    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: 2011-09-28

PECOS data refreshed: 2026-06-15

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
I20110928000327IInternal MedicineTXTBD

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 79720)

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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: 7810117223View full group profile

Reviews

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Frequently asked questions

What is SEGUN BASIRU AWOSEMO (MD)'s NPI number?
SEGUN BASIRU AWOSEMO (MD)'s NPI is 1619085321 — the number used across U.S. healthcare to identify this provider.
Is SEGUN BASIRU AWOSEMO (MD) shown as active in public data?
Registry records indicate SEGUN BASIRU AWOSEMO (MD) maintains an active NPI.
What clinical focus is listed for SEGUN BASIRU AWOSEMO (MD)?
At a glance, SEGUN BASIRU AWOSEMO (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is SEGUN BASIRU AWOSEMO (MD) associated with Big Spring?
Public fields place SEGUN BASIRU AWOSEMO (MD) around Big Spring, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for SEGUN BASIRU AWOSEMO (MD) is noted as August 25, 2006 where the registry provides it.

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