EBENEZER O BABALOLA (M.D.) – Obstetrics & Gynecology Physician, NPI 1780655175

EBENEZER O BABALOLA (M.D.) is a healthcare provider. based in San antonio, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 277987 (NY). The NPI Number for EBENEZER O BABALOLA (M.D.) is 1780655175

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
EBENEZER O BABALOLA (M.D.)
NPI
1780655175
Phone
(210) 358-3582
Address
903 W Martin St
Enumeration Date
1 February 2006
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2103588255
Graduation Year
1989 (37 years ago)
PAC ID
5395731483
Group Practice PAC ID
7719979509
Professional Enrollment ID
I20190313000450
Address ID
TX782082127SA919XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

3,165 OBSTETRICS/GYNECOLOGY in TX

Provider Addresses for EBENEZER O BABALOLA (M.D.)

  • 903 W Martin St

    San Antonio, TX 782070903

    Phone: (210) 358-3582

    Fax: (210) 358-9955

    Type: Location

  • 6, Technology Drive, Suffolk County, New York, 11733, United States

    EAST SETAUKET, NY 117334079

    Phone: (631) 444-4686

    Fax: (631) 444-4622

    Type: Mailing

  • 903 W MARTIN ST

    SAN ANTONIO, TX 782070903

    Phone: (210) 358-3582

    Fax: (210) 358-9955

    Type: Mailing

  • 919 LOCKE ST

    SAN ANTONIO, TX 782082127

    Phone: (210) 644-8700

    Fax: (210) 702-4326

    Type: Mailing

  • 811 W INTERSTATE 20 STE 114

    ARLINGTON, TX 760175871

    Phone: (817) 784-8268

    Fax: (817) 804-8178

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $166.

Total Amount is formed as General ($166) + Research ($0) + Ownership ($0) = $166.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: ABBVIE INC. ($132).

Total Amount

$166

General + Research + Ownership

Payments

8

Total payment records

General Amount

$166

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

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: 2019-03-13

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
I20190313000450IObstetrics/GynecologyTXTBD

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 78207)

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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: 7719979509View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
Family PracticeTX
Hospitalist, Internal MedicineTX
-TX
-TX
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)TX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
Pediatric Medicine, Cardiovascular Disease (Cardiology)TX

Reviews

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Frequently asked questions

Can I cross-check EBENEZER O BABALOLA (M.D.) using NPI 1780655175?
NPI 1780655175 belongs to EBENEZER O BABALOLA (M.D.); compare other details if you need extra assurance.
Is there an active status for EBENEZER O BABALOLA (M.D.)?
For scheduling context, EBENEZER O BABALOLA (M.D.) is shown as active in the registry.
How would a patient describe EBENEZER O BABALOLA (M.D.)'s focus?
For EBENEZER O BABALOLA (M.D.), the primary taxonomy reads as Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with EBENEZER O BABALOLA (M.D.)?
Directory geography for EBENEZER O BABALOLA (M.D.) centers on San Antonio, Texas.
Does EBENEZER O BABALOLA (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.