Individual provider Active NPI

Saadatu Oluwafunmilayo Olanrewaju, PA

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1326550252
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110893 Issued in FL
Practice address
13770 Plantation Rd Ste 103
Fort Myers, FL 33912-4460
Phone
(941) 444-0011
Fax
(603) 952-3900
NPI assigned
Nov 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110893 FL Primary

Addresses

Primary practice location

13770 Plantation Rd Ste 103
Fort Myers, FL 33912-4460

Mailing address

3600 SW 19TH Ave Apt 45
Gainesville, FL 32607-4133
Phone (912) 433-2270

Other practice location 1

6719 Gall Blvd Ste 106
Zephyrhills, FL 33542-2568
Phone (813) 355-5870

Other practice location 2

870 111th Ave N Ste 4
Naples, FL 34108-1869
Phone (941) 444-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171211000046 FL Practitioner - Physician Assistant 3072871573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onspot-FLGroup PAC ID 3678984937, 43 clinicians

Practice addresses (Care Compare)

16461 Domestic Ave
Fort Myers, FL 33912-6008
Phone (877) 266-7768

Merit-based Incentive Payment System (MIPS)

Final score
83.67 of 100Reported as group
Quality
80.78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9110893FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MVP Medical Practice PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: saadatu.olanrewaju@onspotdermatology.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1326550252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 SW 19TH AVE APT 45",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326074133",
            "telephone_number": "912-433-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13770 PLANTATION RD STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124460",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6719 Gall Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335422568",
            "country_code": "US",
            "telephone_number": "813-355-5870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "870 111th Ave N Ste 4",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341081869",
            "country_code": "US",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLANREWAJU",
        "first_name": "SAADATU",
        "middle_name": "OLUWAFUNMILAYO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.