AYODEJI SOTIMEHIN – Urology Physician, NPI 1972969012

AYODEJI SOTIMEHIN is a healthcare provider. based in Mcdonough, Georgia. specializing in UROLOGY. They hold a License No. 103700 (GA). The NPI Number for AYODEJI SOTIMEHIN is 1972969012

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
AYODEJI SOTIMEHIN
NPI
1972969012
Phone
(678) 284-4040
Address
1930 BRANNAN RD
Enumeration Date
5 January 2016
Last Update Date
30 June 2025

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7709910020
Graduation Year
2019 (7 years ago)
PAC ID
5294078549
Group Practice PAC ID
8921094376
Professional Enrollment ID
I20250520004745
Address ID
GA302742642RI33XXXSWRD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

306 UROLOGY in MD

Provider Addresses for AYODEJI SOTIMEHIN

  • 1930 BRANNAN RD

    MCDONOUGH, GA 302534310

    Phone: (678) 284-4040

    Fax: (678) 284-4076

    Type: Mailing

  • 733 RUTLAND AVENUE

    THE JOHNS HOPKINS SCHOOL OF MEDICINE

    BALTIMORE, MD 212052109

    Phone: (410) 955-3080

    Type: Mailing

  • 600 N WOLFE ST

    THE JOHNS HOPKINS HOSPITAL

    BALTIMORE, MD 212870005

    Phone: (410) 955-5000

    Type: Location

  • 33 UPPER RIVERDALE RD SW STE 105

    RIVERDALE, GA 302742642

    Phone: (770) 991-0020

    Fax: (770) 994-9729

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $589.

Total Amount is formed as General ($589) + Research ($0) + Ownership ($0) = $589.

Last reported payment date: 2024-11-17 • Largest payer in this snapshot: Boston Scientific Corporation ($315).

Total Amount

$589

General + Research + Ownership

Payments

6

Total payment records

General Amount

$589

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-17

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: 2025-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250520004745IUrologyGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30253)

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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: 8921094376View full group profile

Reviews

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Frequently asked questions

How is AYODEJI SOTIMEHIN identified in CMS data?
CMS-hosted NPPES data lists AYODEJI SOTIMEHIN with NPI 1972969012.
Can I rely on AYODEJI SOTIMEHIN being an active provider?
As of the registry snapshot, AYODEJI SOTIMEHIN is marked active.
What healthcare role does AYODEJI SOTIMEHIN hold?
Scheduling teams often label AYODEJI SOTIMEHIN under Urology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for AYODEJI SOTIMEHIN?
AYODEJI SOTIMEHIN's geographic hint is Mcdonough, Georgia in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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