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DR. OLADAYO ADISA OSINUGA MD
NPI 1396716312
Internal Medicine in Atlanta, GA

Active since January 28, 2006PECOS EnrolledAccepts Medicare Assignment
1170 CLEVELAND AVE, ATLANTA, GA 30344(404) 466-1170(866) 611-0715 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Oladayo Adisa Osinuga Md NPPES

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

DR. OLADAYO ADISA OSINUGA MD (NPI 1396716312) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (51703) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1396716312
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. OLADAYO ADISA OSINUGACredential: MD
Location Address1170 CLEVELAND AVEAtlanta, GA 30344-3615
Mailing Address480 John Wesley Dobbs Ave Ne Unit 403Atlanta, GA 30312-5328 · (404) 684-7111 · Fax (866) 611-0715
Phone(404) 466-1170
Fax(866) 611-0715
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 28, 2006
Last NPPES UpdateDecember 18, 2020
NPPES CertifiedDecember 18, 2020
✔ NPI 1396716312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 51703
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.
1170 CLEVELAND AVE, Atlanta, GA 30344
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Other Identifiers 1

Medicaid000956733KGA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Oladayo Adisa Osinuga Md 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 ID5193795821
PECOS Enrollment IDI20040729000394
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.

Areas of Expertise CMS Part B claims 8

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.
387 services71 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.
283 services43 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.
277 services76 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
85 services82 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
26 services26 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
24 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110095
Location901 E 18th StreetTifton, GA 31793 · Tift County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Southern Regional Medical Center

Acute Care Hospitals · Riverdale, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110165
Location11 Upper Riverdale Road, SWRiverdale, GA 30274 · Clayton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30344 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
93%45 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$23.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JULIET A. GUMBS CRNA
Nurse Anesthetist, Certified Registered
1170 CLEVELAND AVE, ANESTHESIA DEPT.
EAST POINT, GA 30344
Fulton County (404) 466-1700
SEKETHIA L MCDONALD MD
Anesthesiology
1170 CLEVELAND AVE, ANESTHESIA DEPT.
EAST POINT, GA 30344
Fulton County (404) 466-1700
ATLANTA MEDICAL CENTER, INC.
Skilled Nursing Facility
1170 CLEVELAND AVE
EAST POINT, GA 30344
Fulton County (404) 466-1170
GERI M WILLIAMS MD
Emergency Medicine
1170 CLEVELAND AVE
ATLANTA, GA 30344
Fulton County (770) 874-5400
DR. ANTHONY FONTANA M.D.
Emergency Medicine
1170 CLEVELAND AVE
ATLANTA, GA 30344
Fulton County (404) 466-1170
CHRISTINA K EID PA
Physician Assistant
1170 CLEVELAND AVE
EAST POINT, GA 30344
Fulton County (404) 466-1600
PROGRESSIVE ANESTHESIA CONSULTANTS, LLC
Anesthesiology
1170 CLEVELAND AVE, ANESTHESIA/SURGERY DEPT
EAST POINT, GA 30344
Fulton County (404) 466-1700
SOUND PHYSICIANS OF GEORGIA III PC
Internal Medicine
1170 CLEVELAND AVE
EAST POINT, GA 30344
Fulton County (404) 466-1170

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 Oladayo Osinuga's NPI number?

The NPI number for Oladayo Osinuga is 1396716312. It was assigned to this individual provider in the NPPES registry on January 28, 2006.

Where is Oladayo Osinuga located?

Oladayo Osinuga practices at 1170 Cleveland Ave, Atlanta, GA 30344. The listed phone number is (404) 466-1170.

What is Oladayo Osinuga's specialty?

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

Is Oladayo Osinuga enrolled in Medicare?

Yes. Oladayo Osinuga 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.

What insurance does Oladayo Osinuga accept?

Health plans from Oscar Insurance Company list Oladayo Osinuga 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 Oladayo Osinuga affiliated with any hospitals?

According to CMS data, Oladayo Osinuga is affiliated with Tift Regional Medical Center, Atrium Health Navicent The Medical Center, Coliseum Medical Centers, LLC, Dba and Southern Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Oladayo Osinuga was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.