DR. DAMILOLA FLORENCE OLUYITAN (MD) – Family Medicine Physician, NPI 1023436540
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for DR. DAMILOLA FLORENCE OLUYITAN (MD)
PO BOX 5127
EVERETT, WA 982065127
Phone: (425) 595-7830
Type: Mailing
9924 NE 185TH ST STE 215
BOTHELL, WA 980113504
Phone: (425) 595-3830
Fax: (425) 595-3831
Type: Location
PO BOX 188
MARANA, AZ 856530188
Phone: (520) 682-4111
Fax: (520) 616-1442
Type: Mailing
13395 N MARANA MAIN ST
MARANA, AZ 856537008
Phone: (520) 682-4111
Fax: (520) 616-1442
Type: Location
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
37624 SE FURY ST STE 101
SNOQUALMIE, WA 980659680
Phone: (425) 888-2016
Fax: (206) 320-5170
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: 2024-06-27
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 |
|---|---|---|---|---|
| I20240627000572 | I | Family Practice | AZ | 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 98206)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| - | AZ | |
| Mental Health Counselor | AZ | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | AZ | |
| Clinical Social Worker | AZ | |
| Mental Health Counselor | AZ | |
| Internal Medicine | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ |
Reviews
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