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DR. KOLAWOLE OLUFEMI DOMINIK SOFOWORA M.D.
NPI 1124434964
Pediatrics in Sycamore, IL

Active since July 01, 2014PECOS Enrolled
165 E PLANK RD, SYCAMORE, IL 60178(815) 363-9400(314) 454-4102 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kolawole Olufemi Dominik Sofowora M.d. NPPES

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

DR. KOLAWOLE OLUFEMI DOMINIK SOFOWORA M.D. (NPI 1124434964) is an individual pediatrics provider in Sycamore, Illinois, licensed in Illinois (036.142733) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124434964
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KOLAWOLE OLUFEMI DOMINIK SOFOWORACredential: M.D.
Location Address165 E PLANK RDSycamore, IL 60178
Mailing Address370 Summit StElgin, IL 60120 · (847) 608-1344 · Fax (314) 454-4102
Phone(815) 363-9400
Fax(314) 454-4102
Sole ProprietorNo
Enumeration DateJuly 1, 2014
Last NPPES UpdateApril 24, 2017
✔ NPI 1124434964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IL · 036.142733✔ Licensed in MO · 2014019161
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
165 E PLANK RD, Sycamore, IL 60178
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kolawole Olufemi Dominik Sofowora M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60178 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 9

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

MRS. JESSICA R ANDERSON FNP-BC
Nurse Practitioner
165 E PLANK RD
SYCAMORE, IL 60178
Dekalb County (844) 599-3700
GREATER FAMILY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
165 E PLANK RD
SYCAMORE, IL 60178
Dekalb County (815) 363-9900
KHADEEJA KHAN PA-C
Physician Assistant
165 E PLANK RD
SYCAMORE, IL 60178
Dekalb County (844) 599-3700
DR. KELSEY PEIFER DNP, FNP-BC, APRN
Nurse Practitioner
165 E PLANK RD
SYCAMORE, IL 60178
Dekalb County (844) 599-3700
DEKALB CLINIC CHARTERED
Internal Medicine
165 E PLANK RD
SYCAMORE, IL 60178
Dekalb County (815) 758-8671
JENNIFER MCCORMICK M.D.
Obstetrics & Gynecology (Gynecology)
165 E PLANK RD
SYCAMORE, IL 60178
Dekalb County (815) 758-8671
CENTER FOR FAMILY HEALTH
Family Medicine
165 E PLANK RD
SYCAMORE, IL 60178
Dekalb County (815) 752-3253
AMBER SAYLES PA-C
Physician Assistant
165 E PLANK RD
SYCAMORE, IL 60178
Dekalb County (844) 599-3700

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 Kolawole Sofowora's NPI number?

The NPI number for Kolawole Sofowora is 1124434964. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Kolawole Sofowora located?

Kolawole Sofowora practices at 165 E Plank Rd, Sycamore, IL 60178. The listed phone number is (815) 363-9400.

What is Kolawole Sofowora's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kolawole Sofowora enrolled in Medicare?

Yes. Kolawole Sofowora is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kolawole Sofowora was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.