DR. OPEOLUWA DANIYAN (MD) – Otolaryngology Physician, NPI 1770979395

DR. OPEOLUWA DANIYAN (MD) is a healthcare provider. based in Mansfield, Texas. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. S5351 (TX). The NPI Number for DR. OPEOLUWA DANIYAN (MD) is 1770979395

Main info

Female
11 Years Of Experience
Name
DR. OPEOLUWA DANIYAN (MD)
NPI
1770979395
Phone
(817) 806-1140
Address
1105 ALEXIS CT STE 101
Enumeration Date
9 April 2015
Last Update Date
26 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8172613000
Graduation Year
2015 (11 years ago)
PAC ID
2466874052
Group Practice PAC ID
9234291840
Professional Enrollment ID
I20200629001417
Address ID
TX760143180AR400XXBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

892 OTOLARYNGOLOGY in TX

Provider Addresses for DR. OPEOLUWA DANIYAN (MD)

  • 1105 ALEXIS CT STE 101

    MANSFIELD, TX 760633344

    Phone: (817) 806-1140

    Fax: (817) 806-1141

    Type: Location

  • 2302 LONE STAR RD STE 220

    MANSFIELD, TX 760638752

    Phone: (682) 341-7220

    Fax: (682) 341-7222

    Type: Location

  • PO BOX 6278

    FORT WORTH, TX 761150278

    Phone: (817) 806-1140

    Fax: (817) 806-1141

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $327.

Total Amount is formed as General ($327) + Research ($0) + Ownership ($0) = $327.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Stryker Corporation ($129).

Total Amount

$327

General + Research + Ownership

Payments

9

Total payment records

General Amount

$327

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

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: 2020-06-29

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
I20200629001417IOtolaryngologyTXTBD

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
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 76063)

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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: 9234291840View full group profile
NameSpecialtyState
Qualified AudiologistTX
O T O L A R Y N G O L O G YTX
Qualified AudiologistTX
Qualified AudiologistTX
O T O L A R Y N G O L O G YIL
O T O L A R Y N G O L O G YTX
O T O L A R Y N G O L O G YTX
O T O L A R Y N G O L O G YTX
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

Can I cross-check DR. OPEOLUWA DANIYAN (MD) using NPI 1770979395?
NPI 1770979395 belongs to DR. OPEOLUWA DANIYAN (MD); compare other details if you need extra assurance.
Is DR. OPEOLUWA DANIYAN (MD) still an active registrant?
DR. OPEOLUWA DANIYAN (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. OPEOLUWA DANIYAN (MD)?
At a glance, DR. OPEOLUWA DANIYAN (MD) is tied to Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is DR. OPEOLUWA DANIYAN (MD) registered?
Use Mansfield, Texas as the headline location for DR. OPEOLUWA DANIYAN (MD) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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