DR. OLANREWAJU OLAMIDE OLATAWURA MD - NPI 1376332304 - Internal Medicine in Woodside, NY

Q: What is Olanrewaju Olatawura's NPI number?

The NPI number for Olanrewaju Olatawura is 1376332304. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Q: What is Olanrewaju Olatawura's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Dr. Olanrewaju Olamide Olatawura Md NPPES

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

DR. OLANREWAJU OLAMIDE OLATAWURA MD (NPI 1376332304) is an individual internal medicine provider in Woodside, New York, licensed in New York (P133682) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1376332304

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. OLANREWAJU OLAMIDE OLATAWURACredential: MD

Location Address6918 32ND AVEWoodside, NY 11377-2033

Mailing Address6918 32nd AveWoodside, NY 11377-2033

Phone(718) 286-9479

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateMay 5, 2025

NPPES CertifiedMay 5, 2025

✔ NPI 1376332304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · P133682

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

6918 32ND AVE, Woodside, NY 11377

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Olanrewaju Olamide Olatawura Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597279935

PECOS Enrollment IDI20250709000122

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 11377 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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 7

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

MALEEH NADEEM MD

Internal Medicine