DR. OLANIYI OLABODE OSOFISAN M.D.
NPI 1447333554
Internal Medicine - Cardiovascular Disease in Braselton, GA

Q: What is Olaniyi Osofisan's NPI number?

The NPI number for Olaniyi Osofisan is 1447333554. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Q: What is Olaniyi Osofisan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Olaniyi Osofisan was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since October 23, 2006PECOS Enrolled

1404 RIVER PL STE 501, BRASELTON, GA 30517(770) 848-7160 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Apr 3, 2025, Feb 7, 2023 (3 updates tracked since 2023).

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About Dr. Olaniyi Olabode Osofisan M.d. NPPES

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

DR. OLANIYI OLABODE OSOFISAN M.D. (NPI 1447333554) is an individual cardiovascular disease provider in Braselton, Georgia, licensed in Georgia (053797) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447333554

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. OLANIYI OLABODE OSOFISANCredential: M.D.

Location Address1404 RIVER PL STE 501Braselton, GA 30517-5600

Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420

Phone(770) 848-7160

Sole ProprietorNo

Enumeration DateOctober 23, 2006

Last NPPES UpdateApril 9, 20253 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1447333554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in GA · 053797✔ Licensed in MT · 148664

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1404 RIVER PL STE 501, Braselton, GA 30517

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Secondary Practice Locations 2

Location 13459 Acworth Due West Rd NW, Suite 559Acworth, GA 30101-5819 · Phone (770) 529-7922 · Fax (770) 529-7931

Location 2937 Highland BlvdBozeman, MT 59715-6909 · Phone (406) 414-5000

Other Identifiers 1

Medicaid173191749AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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. Olaniyi Olabode Osofisan 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 30517 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 19

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

SIVA CHIRANJEEVI MD

Internal Medicine (Cardiovascular Disease)