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DR. KEHINDE OPEOLUWA IDOWU M.D
NPI 1063806982
Family Medicine in Douglasville, GA

Active since March 28, 2015PECOS EnrolledAccepts Medicare Assignment
98.65/100
CMS Quality Rating
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134(678) 838-2585(678) 838-2587 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Dec 26, 2019, Apr 19, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Kehinde Opeoluwa Idowu M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEHINDE OPEOLUWA IDOWU M.D (NPI 1063806982) is an individual family medicine provider in Douglasville, Georgia, licensed in Georgia (80489) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1063806982
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEHINDE OPEOLUWA IDOWUCredential: M.D
Location Address8954 HOSPITAL DRDouglasville, GA 30134-2272
Mailing Address80 Jesse Hill Jr Dr Se Unit 9aAtlanta, GA 30303-3031 · (404) 274-9386
Phone(678) 838-2585
Fax(678) 838-2587
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 28, 2015
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedDecember 26, 2019
✔ NPI 1063806982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 80489
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8954 HOSPITAL DR, Douglasville, GA 30134
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Secondary Practice Location 1

Location 180 Jesse Hill Jr Dr SE Unit 9AAtlanta, GA 30303-3031 · Phone (404) 274-9386

Other Identifiers 1

Other80489GA · Georgia License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kehinde Opeoluwa Idowu M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153695887
PECOS Enrollment IDI20181115001310
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Kehinde Idowu reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
Same address
Internal Medicine
8820 HOSPITAL DR
Douglasville, GA 30134
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1386940922 (770) 947-3000
North Atlanta Professional Services LLC
25 mi
Psychologist
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 783 clinicians in this Medicare group
NPI 1316959869 (855) 709-4535
Covenant Medical Group LLC
26 mi
Pulmonary Disease
3605 SANDY PLAINS RD STE 240-235
Marietta, GA 30066
  • Reassigned Medicare billing, Georgia enrollment
  • 45 clinicians in this Medicare group
NPI 1194235853 (770) 990-8212
24 On Physicians, PC
44 mi
Hospitalist
304 TURNER MCCALL BLVD SW
Rome, GA 30165
  • Reassigned Medicare billing, Georgia enrollment
  • 343 clinicians in this Medicare group
NPI 1912956251 (800) 923-2247
Cogent Healthcare Of Georgia PC
85 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
252 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
127 services20 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
111 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.19
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMPARO PYRONNEAU NP
Nurse Practitioner (Family)
8954 HOSPITAL DR, BUILDING B, SUITE 115
DOUGLASVILLE, GA 30134
Douglas County (770) 874-5400
MS. SARAH MURPHY MSPAS, PA-C
Physician Assistant (Medical)
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Douglas County (678) 838-2585
NINA SHERIA LAGARDE NP
Nurse Practitioner (Family)
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Douglas County (678) 838-2584
LAUREN ROSE BREIDENBACH DPT
Physical Therapist
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Douglas County (470) 664-6000
DR. HANNA LEGESSE HIRPO MD
Internal Medicine
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Douglas County (678) 838-2585
TRI-COUNTY ANESTHESIA, LLC
Anesthesiology
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Douglas County (770) 920-6420
MRS. KRISTIN ISABEL GRIGGS PA-C
Physician Assistant (Medical)
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Douglas County (943) 202-7120
DR. BRETT H CANNON MD
Emergency Medicine
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Douglas County (770) 920-6420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kehinde Idowu's NPI number?

The NPI number for Kehinde Idowu is 1063806982. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Where is Kehinde Idowu located?

Kehinde Idowu practices at 8954 Hospital Dr, Douglasville, GA 30134. The listed phone number is (678) 838-2585.

What is Kehinde Idowu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kehinde Idowu enrolled in Medicare?

Yes. Kehinde Idowu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kehinde Idowu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kehinde Idowu reassigns Medicare benefits to 5 organizations: Wellstar Medical Group, LLC (Douglasville, GA), North Atlanta Professional Services LLC (Atlanta, GA), Covenant Medical Group LLC (Marietta, GA), 24 On Physicians, PC (Rome, GA) and Cogent Healthcare Of Georgia PC (Macon, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kehinde Idowu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kehinde Idowu accept?

Health plans from Oscar Health and Oscar Insurance Company list Kehinde Idowu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kehinde Idowu affiliated with any hospitals?

According to CMS data, Kehinde Idowu is affiliated with Northside Hospital Cherokee, Northside Hospital Gwinnett and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Kehinde Idowu was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.