IRENE OLABODE (DO) – Family Medicine Physician, NPI 1619297744

IRENE OLABODE (DO) is a healthcare provider. based in Mansfield, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. P7014 (TX). The NPI Number for IRENE OLABODE (DO) is 1619297744

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
IRENE OLABODE (DO)
NPI
1619297744
Phone
Not provided
Address
PO BOX 2059
Enumeration Date
11 June 2010
Last Update Date
24 February 2025

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4439291478
Graduation Year
2010 (16 years ago)
PAC ID
2567619349
Group Practice PAC ID
3173995966
Professional Enrollment ID
I20200713003825
Address ID
GA30024XXXXSUXXXXXXXXXX00
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:15State licenses:6Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for IRENE OLABODE (DO)

  • PO BOX 2059

    MANSFIELD, TX 760630019

    Phone:

    Type: Mailing

  • 1445 WOODMONT LN NW STE 1002

    ATLANTA, GA 303182866

    Phone: (760) 284-5368

    Type: Location

  • 1945 Lakepointe Dr

    Lewisville, TX 750576424

    Phone: (469) 319-9426

    Type: Location

  • 1222 NORTH BISHOP

    SUITE 300

    DALLAS, TX 752084176

    Phone: (214) 941-1353

    Fax: (214) 941-1047

    Type: Location

  • 2840 Lavista Rd Ste A

    Decatur, GA 300331350

    Phone: (404) 778-0640

    Type: Location

  • 2840 LAVISTA RD STE A

    DECATUR, GA 300331350

    Phone: (404) 778-0640

    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: 2020-07-13

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
I20130916000597IFamily PracticeTXTBD
I20200713003825IFamily PracticeGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6856$0
36415Insertion of needle into vein for collection of blood sample2220$0
99213Established patient office or other outpatient visit, 20-29 minutes1614$0
83036Hemoglobin a1c level1312$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use1111$0
View full utilization report →

Insurance plans in this area (ZIP 76063)

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Provider's Procedures

IRENE OLABODE (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX81002Urinalysis, manual test6543
FAMILY MEDICINETX83036Hemoglobin A1C level3321

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: 3173995966View full group profile
NameSpecialtyState
Family PracticeMD
Internal MedicineTX
Family PracticeIL
Preventive MedicineAZ
A N E S T H E S I O L O G YNC
Internal Medicine, Nephrology, Internal MedicineMO
Internal Medicine, Geriatric MedicineTX
Internal MedicineNJ
Hospitalist, Internal Medicine, Internal MedicineNJ
Nurse PractitionerMO

Reviews

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Frequently asked questions

What unique ID ties claims to IRENE OLABODE (DO)?
NPI 1619297744 is assigned to IRENE OLABODE (DO) under the national enumeration system.
Is IRENE OLABODE (DO)'s NPI currently valid?
The extract we use shows IRENE OLABODE (DO) as active.
Can you summarize IRENE OLABODE (DO)'s specialty in plain language?
Clinically, the directory lists IRENE OLABODE (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for IRENE OLABODE (DO)?
We surface Mansfield, Texas for IRENE OLABODE (DO) based on available NPPES addresses.
What if Mansfield, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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