DR. OLABODE OLAOSEBIKAN DESALU MD
NPI 1093732950
Pediatrics in Rogers, AR
About Dr. Olabode Olaosebikan Desalu Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. OLABODE OLAOSEBIKAN DESALU MD (NPI 1093732950) is an individual pediatrics provider in Rogers, Arkansas, licensed in Arkansas (E-11228) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springdale.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Olabode Olaosebikan Desalu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Olabode Desalu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72202
- Reassigned Medicare billing, Arkansas enrollment
- Medicare enrollment name: Arkansas Childrens Medical Group PLLC
- 36 clinicians in this Medicare group
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 1,167 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROGERS, AR 72758
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Olabode Desalu's NPI number?
The NPI number for Olabode Desalu is 1093732950. It was assigned to this individual provider in the NPPES registry on July 16, 2006. The provider is also known as Olabode Olaosebikan Oshodi MD.
Where is Olabode Desalu located?
Olabode Desalu practices at 900 S 52nd St Ste 200, Rogers, AR 72758. The listed phone number is (479) 254-1100.
What is Olabode Desalu's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Olabode Desalu enrolled in Medicare?
Yes. Olabode Desalu is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Olabode Desalu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olabode Desalu reassigns Medicare benefits to 2 organizations: Arkansas Children's Medical Group PLLC (Little Rock, AR) and Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olabode Desalu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Olabode Desalu accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Olabode Desalu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Olabode Desalu was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Olabode Olaosebikan Desalu, MD · NPI 1093732950
Pediatrics physician in Rogers, Arkansas. Individual provider, active in the CMS NPPES registry since July 16, 2006.
## Identity
- **NPI:** 1093732950 (Entity type: Individual)
- **Enumerated:** July 16, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** E-11228 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 S 52ND ST STE 200, Rogers, AR 72758-8640
- **Phone:** (479) 254-1100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Arkansas Children's Medical Group PLLC (NPI 1396274841, Little Rock, AR); Lsu Health Sciences Center Shreveport Faculty Group Practice (NPI 1013374222, Shreveport, LA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 22, 2024
- **Other identifiers:** Medicaid 200069660 (MO); Medicaid 1470635 (LA); Medicaid 200775600A (OK); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1093732950) · Data from the CMS NPPES public registry.