DR. OLANIYI OLABODE OSOFISAN (M.D.) – Cardiovascular Disease Physician, NPI 1447333554

DR. OLANIYI OLABODE OSOFISAN (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 053797 (GA). The NPI Number for DR. OLANIYI OLABODE OSOFISAN (M.D.) is 1447333554

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. OLANIYI OLABODE OSOFISAN (M.D.)
NPI
1447333554
Phone
(770) 219-8420
Address
PO BOX 742616
Enumeration Date
23 October 2006
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4064143959
Graduation Year
1987 (39 years ago)
PAC ID
9638156664
Group Practice PAC ID
4688984164
Professional Enrollment ID
I20250227000415
Address ID
MT597156916BO937XXBLVD307

Contacts

Secure Messaging
oosofisan155046@nghs.gadirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA

Provider Addresses for DR. OLANIYI OLABODE OSOFISAN (M.D.)

  • PO BOX 742616

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Type: Mailing

  • 1404 RIVER PL STE 501

    BRASELTON, GA 305175600

    Phone: (770) 848-7160

    Type: Location

  • 3459 Acworth Due West Rd NW

    Suite 559

    Acworth, GA 301015819

    Phone: (770) 529-7922

    Fax: (770) 529-7931

    Type: Location

  • 937 Highland Blvd

    Bozeman, MT 597156909

    Phone: (406) 414-5000

    Type: Location

  • Acworth Due West Road Northwest, Calumet Woods, Marietta, Cobb, Georgia, 30152, United States

    ACWORTH, GA 301015819

    Phone: (770) 529-7922

    Fax: (770) 529-7931

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2023-03-15 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($21).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040930000154ICardiovascular Disease (Cardiology)GATBD
I20171213000125ICardiovascular Disease (Cardiology)ILTBD
I20250227000415ICardiovascular Disease (Cardiology)MTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function216216$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report11399$0
36415Insertion of needle into vein for collection of blood sample6552$0
99204New patient office or other outpatient visit, 45-59 minutes5454$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5333$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688984164View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineWA
Pediatric Medicine, Internal MedicineMT
O B S T E T R I C S/ G Y N E C O L O G YMT
-MT
-MT
Nurse PractitionerMT
Nurse PractitionerOR
Emergency MedicineMN
N E U R O L O G YNC
O B S T E T R I C S/ G Y N E C O L O G YMT

Reviews

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Frequently asked questions

What NPI should I save for DR. OLANIYI OLABODE OSOFISAN (M.D.)?
Save NPI 1447333554 if you need a stable reference for DR. OLANIYI OLABODE OSOFISAN (M.D.).
Is DR. OLANIYI OLABODE OSOFISAN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. OLANIYI OLABODE OSOFISAN (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. OLANIYI OLABODE OSOFISAN (M.D.) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. OLANIYI OLABODE OSOFISAN (M.D.)?
We surface Atlanta, Georgia for DR. OLANIYI OLABODE OSOFISAN (M.D.) based on available NPPES addresses.
How can I contact DR. OLANIYI OLABODE OSOFISAN (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.