Individual provider Active NPI

Moyosore D Awobajo-Otesanya, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Nashville, TN
National Provider Identifier
1285253229
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
V7815 Issued in TX
Practice address
1010 Airpark Center Dr
Nashville, TN 37217-5200
Phone
(615) 562-9200
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 73875 TN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X V7815 TX Primary

Addresses

Primary practice location

1010 Airpark Center Dr
Nashville, TN 37217-5200

Mailing address

5301 Virginia Way Ste 300
Brentwood, TN 37027-7542
Phone (615) 221-4400

Other practice location 1

3500 Gaston Ave Ste 261
Dallas, TX 75246-2088
Phone (214) 818-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL, TX, GA, MS, VA, KY, WV8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20250512000839 TN Practitioner - Pathology 5890212096 Reassigns benefits to 1 organization
I20250619001839 AL Practitioner - Pathology 5890212096 Reassigns benefits to 1 organization
I20250702004550 TX Practitioner - Pathology 5890212096 Reassigns benefits to 1 organization
I20250707003477 GA Practitioner - Pathology 5890212096 Reassigns benefits to 1 organization
I20250808000261 MS Practitioner - Pathology 5890212096 Reassigns benefits to 1 organization
I20250822000311 VA Practitioner - Pathology 5890212096 Reassigns benefits to 1 organization
I20251016002957 KY Practitioner - Pathology 5890212096 Reassigns benefits to 1 organization
I20251103000136 WV Practitioner - Pathology 5890212096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists, LLCGroup PAC ID 0648167544, 137 clinicians
Pathologists Bio-Medical Laboratories PLLCGroup PAC ID 7911961677, 54 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Berkeley Springs, WV 25411-7463
Phone (304) 258-1234

1010 Airpark Ctr Dr
Nashville, TN 37217-5200
Phone (615) 221-4400

1032 Main St S
Wedowee, AL 36278-7440
Phone (256) 357-2111

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (615) 221-4400

1650 W College St
Suite 185
Grapevine, TX 76051-2103
Phone (817) 481-1588

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

705 Dixie St
Carrollton, GA 30117-3818
Phone (615) 221-4400

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (615) 221-4400

Hospital & facility affiliations

  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078
  • Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025
  • Freeman Health System - Freeman West Hospital, Joplin, MO, CCN 260137
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73875TNMDAnatomic Pathology & Clinical Pathology Physician
V7815TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathologists Biomedical Laboratories PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2025 Accepting new patients
Pathologists Bio-Medical Laboratories PLLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Associated Pathologists, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2025 Accepting new patients
Pathologists Bio-Medical Laboratories PLLC CurrentSince Jul 1, 2025 Accepting new patients
Associated Pathologists LLC CurrentSince Jul 1, 2025 Accepting new patients
Pathologists Bio-Medical Laboratories PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Associated Pathologists LLC Past Accepting new patients
Pathologists Bio-Medical Laboratories PLLC Past Accepting new patients

Locations (25 of 37)

3512 Old Montgomery Hwy
Homewood, AL 35209
Phone (205) 879-2260

1032 Main St S
Wedowee, AL 36278
Phone (256) 357-2111

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977

1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

3600 Gaston Ave
Ste 261
Dallas, TX 75246
Phone (214) 818-9100

3600 Gaston Ave
Ste 2
Dallas, TX 75246
Phone (972) 966-7830

3500 Gaston Ave
Ste 261
Dallas, TX 75246
Phone (214) 818-9100

3500 Gaston Ave
Dallas, TX 75246

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

7600 Better Way
Frisco, TX 75033
Phone (214) 407-5322

800 8th Ave
Ste 326
Ft Worth, TX 76104
Phone (682) 225-3075

700 Walter Reed Blvd
Ste 209
Garland, TX 75042
Phone (972) 494-3657

1650 W College St
Ste 185
Grapevine, TX 76051
Phone (817) 481-1588

1600 W College St
Ste 185
Grapevine, TX 76051
Phone (817) 424-5350

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

5236 W University Dr
Ste 2800
McKinney, TX 75071
Phone (469) 764-4105

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1285253229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 VIRGINIA WAY STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277542",
            "telephone_number": "615-221-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 AIRPARK CENTER DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372175200",
            "telephone_number": "615-562-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Gaston Ave Ste 261",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752462088",
            "country_code": "US",
            "telephone_number": "214-818-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWOBAJO-OTESANYA",
        "first_name": "MOYOSORE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2025-06-24",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "73875",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "V7815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.