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ADETOKUNBO OLUWASANJO MD
NPI 1184937518
Internal Medicine - Medical Oncology in Lake City, FL

Active since July 14, 2010PECOS Enrolled
795 STATE ROAD 47, LAKE CITY, FL 32025(386) 401-7066(833) 933-0709 Get Directions Write a Review

NPPES record last updated: December 24, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 24, 2020, Oct 17, 2019, Sep 4, 2019 (3 updates tracked since 2019).

About Adetokunbo Oluwasanjo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADETOKUNBO OLUWASANJO MD (NPI 1184937518) is an individual medical oncology provider in Lake City, Florida, licensed in Florida (ME141781) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1184937518
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameADETOKUNBO OLUWASANJOCredential: MD
Location Address795 STATE ROAD 47Lake City, FL 32025-0453
Mailing Address4371 Veronica S Shoemaker BlvdFort Myers, FL 33916-2216 · (239) 274-8200 · Fax (239) 278-3350
Phone(386) 401-7066
Fax(833) 933-0709
Sole ProprietorNo
Enumeration DateJuly 14, 2010
Last NPPES UpdateDecember 24, 20203 updates tracked since enumeration
NPPES CertifiedDecember 24, 2020
✔ NPI 1184937518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in FL · ME141781
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD449227 (PA), MT196670 (PA), ME141781 (FL)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License ME141781 (FL)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License ME141781 (FL)
795 STATE ROAD 47, Lake City, FL 32025
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Secondary Practice Location 1

Location 16420 W Newberry Rd Ste 100Gainesville, FL 32605-6622 · Phone (352) 332-3900 · Fax (352) 332-5009

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adetokunbo Oluwasanjo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Adetokunbo Oluwasanjo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Cancer Specialists & Research Institute, LLC
251 mi
Medical Oncology
1708 CAPE CORAL PKWY W, #10
Cape Coral, FL 33914
  • Reassigned Medicare billing, Florida enrollment
  • 880 clinicians in this Medicare group
NPI 1760590962 (239) 541-4633
Tower Health Medical Group
795 mi
Birthing
949 NEW HOLLAND RD
Reading, PA 19607
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
NPI 1417394115 (610) 777-7222
Reading Hospital
796 mi
Internal Medicine
301 S 7TH AVE STE 340
West Reading, PA 19611
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
NPI 1003175043 (484) 628-8480

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 32025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Adetokunbo Oluwasanjo's NPI number?

The NPI number for Adetokunbo Oluwasanjo is 1184937518. It was assigned to this individual provider in the NPPES registry on July 14, 2010.

Where is Adetokunbo Oluwasanjo located?

Adetokunbo Oluwasanjo practices at 795 State Road 47, Lake City, FL 32025. The listed phone number is (386) 401-7066.

What is Adetokunbo Oluwasanjo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Adetokunbo Oluwasanjo enrolled in Medicare?

Yes. Adetokunbo Oluwasanjo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adetokunbo Oluwasanjo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adetokunbo Oluwasanjo reassigns Medicare benefits to 3 organizations: Florida Cancer Specialists & Research Institute, LLC (Cape Coral, FL), Tower Health Medical Group (Reading, PA) and Reading Hospital (West Reading, PA). 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 Adetokunbo Oluwasanjo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Adetokunbo Oluwasanjo was last updated on December 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.