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DR. BAMIDELE AYOOLA OLATUNBOSUN M.D.
NPI 1659682854
Family Medicine in Temple Terrace, FL

Active since June 23, 2010PECOS EnrolledAccepts Medicare Assignment
9740 N 56TH ST STE B, TEMPLE TERRACE, FL 33617(813) 200-7717 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 6, 2026, Aug 5, 2021, Apr 15, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Bamidele Ayoola Olatunbosun M.d. NPPES

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

DR. BAMIDELE AYOOLA OLATUNBOSUN M.D. (NPI 1659682854) is an individual family medicine provider in Temple Terrace, Florida, licensed in Florida (ME148937) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Wake Forest University School Of Medicine (2010).

NPPES Registry Identity

NPI1659682854
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BAMIDELE AYOOLA OLATUNBOSUNCredential: M.D.
Location Address9740 N 56TH ST STE BTemple Terrace, FL 33617-5500
Mailing Address425 W Colonial Dr Ste 303Orlando, FL 32804-6863 · (321) 635-2190 · Fax (689) 304-0303
Phone(813) 200-7717
Sole ProprietorYes
Medical School CMSWake Forest University School Of MedicineGraduated 2010
Enumeration DateJune 23, 2010
Last NPPES UpdateApril 6, 20264 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1659682854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME148937✔ Licensed in AK · 142113✔ Licensed in CA · A143986
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9740 N 56TH ST STE B, Temple Terrace, FL 33617
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Secondary Practice Locations 2

Location 110320 N 56th St Ste 100Temple Terrace, FL 33617-4057 · Phone (813) 422-5144
Location 24520 E Bay DrClearwater, FL 33764-5714 · Phone (727) 615-3032 · Fax (727) 615-2195

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Dr. Bamidele Ayoola Olatunbosun M.d. 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.

PECOS PAC ID3971898420
PECOS Enrollment IDI20210819000807
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 Bamidele Olatunbosun reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Just Medical Care
0.4 mi
Family Medicine
10320 N 56TH ST STE 100
Temple Terrace, FL 33617
  • Reassigned Medicare billing, Florida enrollment
NPI 1124791900 (813) 442-5144
Archwell Health Medical Of Florida, LLC
65 mi
Internal Medicine
543 TAMIAMI TRL S
Venice, FL 34285
  • Reassigned Medicare billing, Florida enrollment
  • 70 clinicians in this Medicare group
NPI 1497453450 (941) 837-8002
Orlando Family Physicians, LLC
67 mi
General Practice
6336 W COLONIAL DR
Orlando, FL 32818
  • Reassigned Medicare billing, Florida enrollment
  • 97 clinicians in this Medicare group
NPI 1568563187 (407) 658-9687

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 33617 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers390 claims1,525 services$213.65 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
1 supplier32 claims32 services$209.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DAVID MIGUEL MALCOLM DEPESTRE APRN-PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9740 N 56TH ST STE B
TEMPLE TERRACE, FL 33617
Hillsborough County (813) 200-7717
ORLANDO FAMILY PHYSICIANS, LLC
Internal Medicine
9740 N 56TH ST STE B
TEMPLE TERRACE, FL 33617
Hillsborough County (813) 200-7717
SABA NASEER AHMED MBBS
Internal Medicine
9740 N 56TH ST STE B
TEMPLE TERRACE, FL 33617
Hillsborough County (813) 200-7717
DR. ENRIQUE JOSE DE LA CRUZ HERNANDEZ MD
General Practice
9740 N 56TH ST STE B
TEMPLE TERRACE, FL 33617
Hillsborough County (813) 200-7717
DR. SADIYA AHMED FAROOQUI D.O.
Family Medicine
9740 N 56TH ST STE B
TEMPLE TERRACE, FL 33617
Hillsborough County (813) 200-7717
MRS. TAI DAY APRN
Nurse Practitioner (Adult Health)
9740 N 56TH ST STE B
TEMPLE TERRACE, FL 33617
Hillsborough County (813) 200-7717

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 Bamidele Olatunbosun's NPI number?

The NPI number for Bamidele Olatunbosun is 1659682854. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Where is Bamidele Olatunbosun located?

Bamidele Olatunbosun practices at 9740 N 56th St Ste B, Temple Terrace, FL 33617. The listed phone number is (813) 200-7717.

What is Bamidele Olatunbosun's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bamidele Olatunbosun enrolled in Medicare?

Yes. Bamidele Olatunbosun 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 Bamidele Olatunbosun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bamidele Olatunbosun reassigns Medicare benefits to 3 organizations: Just Medical Care (Temple Terrace, FL), Archwell Health Medical Of Florida, LLC (Venice, FL) and Orlando Family Physicians, LLC (Orlando, FL). 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 Bamidele Olatunbosun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bamidele Olatunbosun accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Bamidele Olatunbosun 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 Bamidele Olatunbosun was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.