Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Olaoluwa O. Bode-Omoleye, MD

Individual provider Hematology (Pathology) Physician · NPI 1073958906

Dr. Olaoluwa O. Bode-Omoleye, MD is a Pathology in Pleasant Prairie, Wisconsin. Qualified in 2005, 21 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
21
Licensed in
IL, WI
In the registry since
2013
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

7809 100th St
Pleasant Prairie, WI 53158-2806
Phone: (262) 345-2358
Fax: (262) 912-0137
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 840 S Wood St., Chicago, IL 60612-4325 — (312) 996-7312

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence 85659-20 (WI)
Hematology (Pathology) Physician Taxonomy 207ZH0000X · Licence 036149602 (IL)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence 036149602 (IL)
Hematology (Pathology) Physician Taxonomy 207ZH0000X · Licence 85659-20 (WI)
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X · Licence 036149602 (IL)
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X · Licence 85659-20 (WI)

Record details

NPI number1073958906
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2013
Last updated in NPPESSeptember 14, 2025
Certification dateSeptember 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare