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DR. OLUSEGUN ADESANYA ODUKOYA M.D
NPI 1235387416
Family Medicine - Adult Medicine in Willowick, OH

Active since August 30, 2008PECOS Enrolled
33693 VINE ST, WILLOWICK, OH 44095(440) 768-2794(888) 355-7033 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2026, Mar 17, 2018, Jan 16, 2018 (3 updates tracked since 2018).

About Dr. Olusegun Adesanya Odukoya M.d NPPES

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

DR. OLUSEGUN ADESANYA ODUKOYA M.D (NPI 1235387416) is an individual adult medicine provider in Willowick, Ohio, licensed in Ohio (35.120134) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235387416
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. OLUSEGUN ADESANYA ODUKOYACredential: M.D
Location Address33693 VINE STWillowick, OH 44095-3455
Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250 · (888) 987-1151
Phone(440) 768-2794
Fax(888) 355-7033
Sole ProprietorNo
Enumeration DateAugust 30, 2008
Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1235387416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Licenses✔ Licensed in OH · 35.120134✔ Licensed in MI · 4301093350✔ Licensed in KY · TP891
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
33693 VINE ST, Willowick, OH 44095
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111100 Euclid AveCleveland, OH 44106-1716 · Phone (216) 844-3944 · Fax (216) 844-8974
Location 23600 Kolbe Rd Ste 227Lorain, OH 44053-1601 · Phone (440) 960-3304 · Fax (440) 960-4733

Other Identifiers 5

Other000000637130KY · Anthem Bcbs
Medicaid7100104620KY
OtherP00773148KY · Rr Medicare
Other000000637135KY · Anthem Bcbs
Medicaid3009952OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Olusegun Adesanya Odukoya M.d 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

2

Medicare enrollment records show Olusegun Odukoya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Hospitals Medical Group Inc
12 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000
Archwell Health Professional Services Of Ohio, Inc.
21 mi
Internal Medicine
5795 STATE RD
Parma, OH 44134
  • Reassigned Medicare billing, Ohio enrollment
  • 31 clinicians in this Medicare group
NPI 1366248965 (888) 987-1151

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
68 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44095 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RUTH A CHAZA-NDLOVU CNP
Nurse Practitioner
33693 VINE ST
WILLOWICK, OH 44095
Lake County (440) 768-2794

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 Olusegun Odukoya's NPI number?

The NPI number for Olusegun Odukoya is 1235387416. It was assigned to this individual provider in the NPPES registry on August 30, 2008.

Where is Olusegun Odukoya located?

Olusegun Odukoya practices at 33693 Vine St, Willowick, OH 44095. The listed phone number is (440) 768-2794.

What is Olusegun Odukoya's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Olusegun Odukoya enrolled in Medicare?

Yes. Olusegun Odukoya is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Olusegun Odukoya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olusegun Odukoya reassigns Medicare benefits to 2 organizations: University Hospitals Medical Group Inc (Cleveland, OH) and Archwell Health Professional Services Of Ohio, Inc. (Parma, OH). 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 Olusegun Odukoya'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 Olusegun Odukoya was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.