MR. KOLAWOLE OMODAYO ATANDEYI (M.D) – Critical Care Medicine (Internal Medicine) Physician, NPI 1669608436
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
Provider Addresses for MR. KOLAWOLE OMODAYO ATANDEYI (M.D)
5415 ROUCHEL BROOK LN
SUGAR LAND, TX 774794912
Phone: (713) 504-7332
Type: Mailing
960 JOHNSON FERRY RD STE 500
ATLANTA, GA 303421630
Phone: (404) 257-0006
Fax: (404) 851-1316
Type: Mailing
743 Spring St NE
Gainesville, GA 305013715
Phone: (770) 219-9000
Fax: (770) 589-7872
Type: Location
Baystate Medical Center, 759, Chestnut Street, North End, Springfield, Hampden County, Massachusetts, 01199, United States
759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Phone: (413) 794-4802
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Cook Medical LLC ($42).
Total Amount
$42
General + Research + Ownership
Payments
1
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cook Medical LLC | $42 |
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: 2020-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20151014000528 | I | Internal Medicine | GA | TBD |
| I20151028002166 | I | Internal Medicine | RI | TBD |
| I20160830002264 | I | Internal Medicine | TX | TBD |
| I20180110001418 | I | Internal Medicine | MI | TBD |
| I20200505000616 | I | Internal Medicine | NY | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 256 | 127 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 77 | 56 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 15 | 13 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 77479)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | TX | |
| Pulmonary Disease | TX | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | TX | |
| Critical Care (Intensivists), Internal Medicine | MO | |
| Pulmonary Disease, Critical Care (Intensivists) | TX | |
| Internal Medicine, Critical Care (Intensivists), Nephrology | TX |
Reviews
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