DR. ABIMBOLA ODUSANYA (MD) – Pediatrics Physician, NPI 1689660151
Pediatrics Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. ABIMBOLA ODUSANYA (MD)
11131, Manderly Lane, The Isles, Wellington, Palm Beach County, Florida, 33449, United States
WELLINGTON, FL 334677404
Phone:
Type: Mailing
Palms West Hospital, 13001, Southern Boulevard, Palm Beach County, Florida, 33470, United States
LOXAHATCHEE, FL 334709203
Phone: (561) 798-3300
Type: Location
3000 Coral Hills Dr
Coral Springs Pediatrics Dept.
Coral Springs, FL 330654108
Phone: (954) 344-3000
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: 2024-01-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190909003214 | I | Pediatric Medicine | ND | TBD |
| I20220818000920 | I | Pediatric Medicine | MI | TBD |
| I20240119003242 | I | Pediatric Medicine | GA | 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 33467)
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