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OLUFEMI O SOYODE MD
NPI 1184735698
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Grand Rapids, MI

Active since August 31, 2006PECOS Enrolled
422 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505(616) 294-0010(616) 828-1802 Get Directions Write a Review

NPPES record last updated: February 17, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Olufemi O Soyode Md NPPES

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

OLUFEMI O SOYODE MD (NPI 1184735698) is an individual neurology with special qualifications in child neurology provider in Grand Rapids, Michigan, licensed in Michigan (4301081420) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184735698
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameOLUFEMI O SOYODECredential: MD
Location Address422 PLYMOUTH AVE NEGrand Rapids, MI 49505-6028
Mailing Address422 Plymouth Ave NeGrand Rapids, MI 49505-6028 · (616) 294-0010 · Fax (616) 828-1802
Phone(616) 294-0010
Fax(616) 828-1802
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 17, 2015
✔ NPI 1184735698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in MI · 4301081420
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
422 PLYMOUTH AVE NE, Grand Rapids, MI 49505
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Other Identifiers 1

Medicaid1184735698MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olufemi O Soyode Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Olufemi Soyode reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bronson Methodist Hospital
47 mi
Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
NPI 1417961137 (269) 341-7654
Munson Medical Center
119 mi
Gynecologic Oncology
1105 SIXTH ST
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 492 clinicians in this Medicare group
NPI 1013222587 (231) 935-5000
The Board Of Trustees Of The University Of Illinois
125 mi
Primary Care
3656 N HALSTED ST
Chicago, IL 60613
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1588815401 (734) 726-4697

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49505 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
26%69 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%94 patients1/55-star benchmark: 61%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

CENTER FOR ADOLESCENT AND CHILD NEUROLOGY
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
422 PLYMOUTH AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 294-0010
DEAN T SMITH MD PLLC
Surgery
422 PLYMOUTH AVE NE
GRAND RAPIDS, MI 49505
Kent County (800) 968-6866

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 Olufemi Soyode's NPI number?

The NPI number for Olufemi Soyode is 1184735698. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Olufemi Soyode located?

Olufemi Soyode practices at 422 Plymouth Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 294-0010.

What is Olufemi Soyode's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Olufemi Soyode enrolled in Medicare?

Yes. Olufemi Soyode is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Olufemi Soyode's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olufemi Soyode reassigns Medicare benefits to 3 organizations: Bronson Methodist Hospital (Kalamazoo, MI), Munson Medical Center (Traverse City, MI) and The Board Of Trustees Of The University Of Illinois (Chicago, IL). 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 Olufemi Soyode's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Olufemi Soyode was last updated on February 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.