BUKOLA ODENIYI MD
NPI 1184369837
Emergency Medicine in Pittsburgh, PA
About Bukola Odeniyi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BUKOLA ODENIYI MD (NPI 1184369837) is an individual emergency medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MT226413) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Lake Granbury Medical Center, and maintains a secondary practice location in Granbury.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bukola Odeniyi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Bukola Odeniyi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Granbury, TX 76049
- Reassigned Medicare billing, Texas enrollment
- 38 clinicians in this Medicare group
Granbury, TX 76048
- Reassigned Medicare billing, Texas enrollment
- 123 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lake Granbury Medical Center
Acute Care Hospitals · Granbury, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15212 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PITTSBURGH, PA 15212
PITTSBURGH, PA 15212
PITTSBURGH, PA 15212
PITTSBURGH, PA 15212
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 Bukola Odeniyi's NPI number?
The NPI number for Bukola Odeniyi is 1184369837. It was assigned to this individual provider in the NPPES registry on April 27, 2022.
Where is Bukola Odeniyi located?
Bukola Odeniyi practices at 320 E North Ave, Pittsburgh, PA 15212. The listed phone number is (412) 359-4905.
What is Bukola Odeniyi's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Bukola Odeniyi enrolled in Medicare?
Yes. Bukola Odeniyi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Bukola Odeniyi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bukola Odeniyi reassigns Medicare benefits to 2 organizations: Brazos Emergency Medicine Associates, PA (Granbury, TX) and Lake Granbury Hospital-Based Professional Services (Granbury, TX). 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 Bukola Odeniyi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Bukola Odeniyi affiliated with any hospitals?
According to CMS data, Bukola Odeniyi is affiliated with Lake Granbury Medical Center.
When was this NPI record last updated?
The NPPES record for Bukola Odeniyi was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Bukola Odeniyi, MD · NPI 1184369837
Emergency Medicine physician in Pittsburgh, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 27, 2022.
## Identity
- **NPI:** 1184369837 (Entity type: Individual)
- **Enumerated:** April 27, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MT226413 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 320 E NORTH AVE, Pittsburgh, PA 15212-4756
- **Phone:** (412) 359-4905
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Brazos Emergency Medicine Associates, PA (NPI 1144166273, Granbury, TX); Lake Granbury Hospital-Based Professional Services (NPI 1689443467, Granbury, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1184369837) · Data from the CMS NPPES public registry.