MR. OBIOMA GODSWILL ATUFUNWA (PA) – Medical Physician Assistant, NPI 1003209396

MR. OBIOMA GODSWILL ATUFUNWA (PA) is a healthcare provider. based in Olean, New York. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 020499 (NY). The NPI Number for MR. OBIOMA GODSWILL ATUFUNWA (PA) is 1003209396

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. OBIOMA GODSWILL ATUFUNWA (PA)
NPI
1003209396
Phone
(716) 373-2600
Address
515 Main St
Enumeration Date
10 March 2015
Last Update Date
16 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8148892866
Graduation Year
2014 (12 years ago)
PAC ID
7315266798
Group Practice PAC ID
8426962465
Professional Enrollment ID
I20150506002206
Address ID
PA166014804AL620XXAVEX300

Contacts

Secure Messaging
oatufunwa113154@phsdirect.pinnaclehealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

13,360 PHYSICIAN ASSISTANT in NY

Provider Addresses for MR. OBIOMA GODSWILL ATUFUNWA (PA)

  • 515 Main St

    Olean, NY 147601513

    Phone: (716) 373-2600

    Type: Location

  • 116 Interstate Pkwy

    Bradford, PA 167011036

    Phone: (814) 368-4143

    Type: Location

  • 5800 Ridge Avenue

    philadelphia, PA 19128

    Phone: (215) 483-9900

    Type: Location

  • 501 Bath Rd

    Bristol, PA 190073101

    Phone: (215) 785-9200

    Type: Location

  • 361 Alexander Spring Rd

    Carlisle, PA 170156940

    Phone: (717) 988-0000

    Type: Location

  • 66 W GILBERT ST STE 100

    TINTON FALLS, NJ 077014948

    Phone: (732) 212-0060

    Fax: (732) 212-0061

    Type: Mailing

  • 41 E POST RD

    WHITE PLAINS, NY 106014607

    Phone: (914) 681-0600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-08-23

PECOS data refreshed: 2026-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150506002206IPhysician AssistantPATBD
I20170823002127IPhysician AssistantNYTBD

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
99284Emergency department visit with moderate level of medical decision making1818$0
99285Emergency department visit with high level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 14760)

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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: 8426962465View full group profile
NameSpecialtyState
P S Y C H I A T R YPA
Internal MedicinePA
Internal MedicinePA
Internal MedicineCA
E N D O C R I N O L O G YPA
Hospitalist, Internal MedicineTX
Nurse PractitionerPA
Family PracticeIL
Hospitalist, Internal MedicineWV
Nephrology, Internal MedicinePA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. OBIOMA GODSWILL ATUFUNWA (PA)?
MR. OBIOMA GODSWILL ATUFUNWA (PA) — NPI 1003209396 — is the standard way to identify this listing.
Does CMS list MR. OBIOMA GODSWILL ATUFUNWA (PA) as active?
Yes — MR. OBIOMA GODSWILL ATUFUNWA (PA) is active in the NPI listing used on this page.
What is MR. OBIOMA GODSWILL ATUFUNWA (PA)'s primary classification?
Medical Physician Assistant is the headline specialty for MR. OBIOMA GODSWILL ATUFUNWA (PA) here. Clinical services aligned with this taxonomy classification.
Does MR. OBIOMA GODSWILL ATUFUNWA (PA) list a practice location?
Patients near Olean, New York may find MR. OBIOMA GODSWILL ATUFUNWA (PA) in results; validate coverage separately.
Why does MR. OBIOMA GODSWILL ATUFUNWA (PA) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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