Individual provider Active NPI

Oluwatosin O Odunsi

  • Obstetrics & Gynecology Physician
  • Middletown, DE
National Provider Identifier
1801216429
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD61005429 Issued in WA
Practice address
1591 E Matisse Dr
Middletown, DE 19709-9834
Phone
(716) 994-6457
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036159424 IL
Gynecology Physician 207VG0400X 036159424 IL
Obstetrics & Gynecology Physician 207V00000X MD61005429 WA Primary

Addresses

Primary practice location

1591 E Matisse Dr
Middletown, DE 19709-9834

Mailing address

1591 E Matisse Dr
Middletown, DE 19709-9834
Phone (716) 994-6457

Other practice location 1

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000

Other names 1

  • Oluwatosin Odunsi-Akanji Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220805000205 IL Practitioner - Obstetrics/Gynecology 7618276015 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Meharry Medical College School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Anthony Health AffiliatesGroup PAC ID 1254321474, 95 clinicians

Practice addresses (Care Compare)

4177 S Archer Ave
Chicago, IL 60632-1849
Phone (773) 254-2222

Hospital & facility affiliations

  • Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036159424ILMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Covenant Management Services, Inc CurrentSince Dec 27, 2023 Accepting new patients
Endeavor Health Medical Group Obstetrics & Gynecology Current Accepting new patients
Swedish Covenant Management Services, Inc. Obstetrics & Gynecology CurrentSince Dec 27, 2023 Accepting new patients
Pathology Services Illinois, LTD Current Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 27, 2023 Accepting new patients
Rockford Health Physicians CurrentSince Dec 15, 2025 Accepting new patients
Saint Anthony Health Affiliates CurrentSince Dec 9, 2023 Accepting new patients
Saint Anthony Health Affiliates Obstetrics & Gynecology Past Accepting new patients
Saint Anthony Health Affiliates Past Accepting new patients

Locations

Carol Stream, IL 60122

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

9532 Eagle Way
Chicago, IL 60678

4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

Organizations & group practices 9

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1801216429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 E MATISSE DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197099834",
            "telephone_number": "716-994-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 E MATISSE DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197099834",
            "telephone_number": "716-994-6457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 E Riverside Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611142300",
            "country_code": "US",
            "telephone_number": "815-971-7000",
            "fax_number": "815-968-4795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODUNSI",
        "first_name": "OLUWATOSIN",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036159424",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036159424",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD61005429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUWATOSIN",
            "last_name": "ODUNSI-AKANJI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, DE

Sources for this page

Verify at the official NPI Registry.