Active NPI
Saadatu Oluwafunmilayo Olanrewaju, PA
- Physician Assistant
- Fort Myers, FL
National Provider Identifier
1326550252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9110893
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 80.78
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9110893 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVP Medical Practice PC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Dermatology Physician
- Fort Myers, FL
- NPI 1144827577
-
- Infectious Disease Physician
- Brooklyn, NY
- NPI 1912541061
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.