OLUBUKOLA OMOBOLAJI AYENI (M.D.) – Obstetrics & Gynecology Physician, NPI 1972915023

OLUBUKOLA OMOBOLAJI AYENI (M.D.) is a healthcare provider. based in Bay city, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 19920 (FL). The NPI Number for OLUBUKOLA OMOBOLAJI AYENI (M.D.) is 1972915023

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
OLUBUKOLA OMOBOLAJI AYENI (M.D.)
NPI
1972915023
Phone
(979) 245-2008
Address
101 AVENUE F N
Enumeration Date
23 May 2014
Last Update Date
5 January 2022

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9792452008300
Graduation Year
2014 (12 years ago)
PAC ID
4688968217
Group Practice PAC ID
6002853538
Professional Enrollment ID
I20181017002192
Address ID
TX774144117BA111XXFXXX300

Contacts

Main Contact
athenanet.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

3,164 OBSTETRICS/GYNECOLOGY in TX

Provider Addresses for OLUBUKOLA OMOBOLAJI AYENI (M.D.)

  • 101 AVENUE F N

    BAY CITY, TX 774143167

    Phone: (979) 245-2008

    Fax: (979) 314-7164

    Type: Mailing

  • 2112 REGIONAL MEDICAL DR STE 1317

    WHARTON, TX 774881413

    Phone: (979) 245-2008

    Fax: (979) 314-7164

    Type: Location

  • 111 AVENUE F

    BAY CITY, TX 774144117

    Phone: (979) 245-2008

    Fax: (979) 314-7164

    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: 2018-10-17

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
I20181017002192IObstetrics/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 77414)

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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: 6002853538View full group profile
NameSpecialtyState
P S Y C H I A T R YTX
-TX
-TX
Nurse PractitionerTX
Gastroenterology, Internal MedicineTX
P S Y C H I A T R YTX
O P H T H A L M O L O G YTX
-TX
Mental Health CounselorTX
-TX

Reviews

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Frequently asked questions

How is OLUBUKOLA OMOBOLAJI AYENI (M.D.) identified in CMS data?
CMS-hosted NPPES data lists OLUBUKOLA OMOBOLAJI AYENI (M.D.) with NPI 1972915023.
Is OLUBUKOLA OMOBOLAJI AYENI (M.D.) listed as active for patients and plans?
The listing shows OLUBUKOLA OMOBOLAJI AYENI (M.D.) as active in the NPI system.
What is OLUBUKOLA OMOBOLAJI AYENI (M.D.) best known for clinically?
Directory data describes OLUBUKOLA OMOBOLAJI AYENI (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for OLUBUKOLA OMOBOLAJI AYENI (M.D.)?
OLUBUKOLA OMOBOLAJI AYENI (M.D.)'s geographic hint is Bay City, Texas in our summary view.
Is the information about OLUBUKOLA OMOBOLAJI AYENI (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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