DR. BABATUNDE ADEWALE OLATIDOYE (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1063400133
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. BABATUNDE ADEWALE OLATIDOYE (MD)
USPS Roanoke PO Box Area, 516, East Byron Nelson Boulevard, Roanoke, Denton County, Texas, 76262, United States
ROANOKE, VA 240180506
Phone:
Type: Mailing
New Hanover Regional Medical Center, 2131, South 17th Street, Delgado, Wilmington, New Hanover County, North Carolina, 28401, United States
WILMINGTON, NC 284017407
Phone: (910) 362-9511
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $122.
Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($122).
Total Amount
$122
General + Research + Ownership
Payments
1
Total payment records
General Amount
$122
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $122 |
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: 2008-03-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080320000687 | I | Pathology | NC | TBD |
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.
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 24018)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | NC | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | MO | |
| P A T H O L O G Y | NC | |
| P A T H O L O G Y | PA | |
| P A T H O L O G Y | VA | |
| P A T H O L O G Y | VA | |
| P A T H O L O G Y | VA | |
| Pathology, Hematology | VA |
Reviews
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