DR. ABIMBOLA ODUSANYA MD
NPI 1689660151
Pediatrics in Loxahatchee, FL

Active since September 21, 2005PECOS Enrolled
13001 SOUTHERN BLVD, LOXAHATCHEE, FL 33470(561) 798-3300 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 19, 2022, Apr 17, 2019 (2 updates tracked since 2019).

About Dr. Abimbola Odusanya Md NPPES

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

DR. ABIMBOLA ODUSANYA MD (NPI 1689660151) is an individual pediatrics provider in Loxahatchee, Florida, licensed in Florida (ME 82368) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Coral Springs.

NPPES Registry Identity

NPI1689660151
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ABIMBOLA ODUSANYACredential: MD
Location Address13001 SOUTHERN BLVDLoxahatchee, FL 33470-9203
Mailing Address11131 Manderly LnWellington, FL 33467-7404
Sole ProprietorNo
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJanuary 12, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1689660151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME 82368
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
13001 SOUTHERN BLVD, Loxahatchee, FL 33470

Other Names 1

Other Name (5)Mrs. Abimbola Shafau

Secondary Practice Location 1

Location 13000 Coral Hills Dr, Coral Springs Pediatrics Dept.Coral Springs, FL 33065-4108 · Phone (954) 344-3000

Other Identifiers 1

Other06025FL · Medicare Core

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. Abimbola Odusanya 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

5

Medicare enrollment records show Abimbola Odusanya reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Unit
2209 PINEVIEW DR
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 112 clinicians in this Medicare group
General Acute Care Hospital
2501 N PATTERSON ST
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 118 clinicians in this Medicare group
Internal Medicine
300 NORTH AVE
Battle Creek, MI 49017
  • Reassigned Medicare billing, Michigan enrollment
  • 557 clinicians in this Medicare group
Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1301 15TH AVE W
Williston, ND 58801
  • Reassigned Medicare billing, North Dakota enrollment
  • 268 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 33470 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 20

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

Nurse Practitioner (Family)
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Physician Assistant
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Nurse Anesthetist, Certified Registered
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Anesthesiology
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Radiology (Diagnostic Radiology)
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Internal Medicine
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Nurse Practitioner (Family)
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Physician Assistant (Surgical)
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470

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 Abimbola Odusanya's NPI number?

The NPI number for Abimbola Odusanya is 1689660151. It was assigned to this individual provider in the NPPES registry on September 21, 2005. The provider is also known as Mrs. Abimbola Shafau.

Where is Abimbola Odusanya located?

Abimbola Odusanya practices at 13001 Southern Blvd, Loxahatchee, FL 33470. The listed phone number is (561) 798-3300.

What is Abimbola Odusanya's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Abimbola Odusanya enrolled in Medicare?

Yes. Abimbola Odusanya is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Abimbola Odusanya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abimbola Odusanya reassigns Medicare benefits to 5 organizations: Hospital Authority Of Valdosta And Lowndes County Georgia (Valdosta, GA), South Georgia Medical Center Inc (Valdosta, GA), Bronson Battle Creek Hospital (Battle Creek, MI), Bronson Methodist Hospital (Kalamazoo, MI) and Mercy Medical Center (Williston, ND). 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 Abimbola Odusanya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abimbola Odusanya accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Abimbola Odusanya 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 Abimbola Odusanya was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.