DR. OGHENERUKEVWE ODIETE (MD) – Interventional Cardiology Physician, NPI 1265758502
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
218 VASCULAR SURGERY in GA
Provider Addresses for DR. OGHENERUKEVWE ODIETE (MD)
1100 LAKE HEARN DR STE 200
ATLANTA, GA 303421573
Phone: (770) 400-9588
Fax: (470) 400-3452
Type: Mailing
743 Spring St NE
Gainesville, GA 305013715
Phone: (770) 534-2020
Fax: (770) 534-8025
Type: Location
1100 Lake Hearn Dr Ste 200
Atlanta, GA 303421573
Phone: (770) 400-9588
Type: Location
730 S 8th St
Griffin, GA 302244827
Phone: (770) 400-9588
Type: Location
1818 Albion St
Nashville, TN 372082918
Phone: (615) 327-6611
Type: Location
1825 HIGHWAY 34 E STE 3400
NEWNAN, GA 302656433
Phone: (770) 400-9588
Fax: (470) 400-3452
Type: Location
300, Vernon Road, LaGrange, Troup County, Georgia, 30240, United States
LAGRANGE, GA 302404129
Phone: (706) 242-5100
Fax: (706) 812-2454
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $514.
Total Amount is formed as General ($514) + Research ($0) + Ownership ($0) = $514.
Last reported payment date: 2024-09-28 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($83).
Total Amount
$514
General + Research + Ownership
Payments
24
Total payment records
General Amount
$514
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-28
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-07-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110801000466 | I | Internal Medicine | TN | TBD |
| I20170714002676 | I | Interventional Cardiology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 586 | 211 | $0 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 140 | 15 | $0 |
| 37252 | Ultrasound evaluation of blood vessel with review by radiologist, initial vessel | 122 | 79 | $0 |
| 37253 | Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel | 120 | 77 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 115 | 115 | $0 |
Insurance plans in this area (ZIP 30342)
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