DR. OLANIYI OLABODE OSOFISAN M.D.
NPI 1447333554
Internal Medicine - Cardiovascular Disease in Braselton, GA
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
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
4Medicare enrollment records show Olaniyi Osofisan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pekin, IL 61554
- Reassigned Medicare billing, Illinois enrollment
- 142 clinicians in this Medicare group
Peoria, IL 61603
- Reassigned Medicare billing, Illinois enrollment
- 693 clinicians in this Medicare group
Peoria, IL 61614
- Reassigned Medicare billing, Illinois enrollment
- 349 clinicians in this Medicare group
Bozeman, MT 59715
- Reassigned Medicare billing, Montana enrollment
- 402 clinicians in this Medicare group
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 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.
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.
BRASELTON, GA 30517
BRASELTON, GA 30517
BRASELTON, GA 30517
BRASELTON, GA 30517
BRASELTON, GA 30517
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 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.
Where is Olaniyi Osofisan located?
Olaniyi Osofisan practices at 1404 River Pl Ste 501, Braselton, GA 30517. The listed phone number is (770) 848-7160.
What is Olaniyi Osofisan's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Olaniyi Osofisan enrolled in Medicare?
Yes. Olaniyi Osofisan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Olaniyi Osofisan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olaniyi Osofisan reassigns Medicare benefits to 4 organizations: Pekin Prohealth Inc (Pekin, IL), Methodist Medical Center Of Illinois (Peoria, IL), Proctor Health Systems (Peoria, IL) and Bozeman Health Deaconess Hospital (Bozeman, MT). 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 Olaniyi Osofisan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Olaniyi Osofisan accept?
Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Olaniyi Osofisan 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.
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 18 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.
# Dr. Olaniyi Olabode Osofisan, M.D. · NPI 1447333554
Cardiovascular Disease physician in Braselton, Georgia. Individual provider, active in the CMS NPPES registry since October 23, 2006.
## Identity
- **NPI:** 1447333554 (Entity type: Individual)
- **Enumerated:** October 23, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 053797 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1404 RIVER PL STE 501, Braselton, GA 30517-5600
- **Phone:** (770) 848-7160
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Pekin Prohealth Inc (NPI 1932150299, Pekin, IL); Methodist Medical Center Of Illinois (NPI 1184670663, Peoria, IL); Proctor Health Systems (NPI 1134173917, Peoria, IL); Bozeman Health Deaconess Hospital (NPI 1437529112, Bozeman, MT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2025
- **Other identifiers:** Medicaid 173191749A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1447333554) · Data from the CMS NPPES public registry.