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OLAWALE OLANISA MD
NPI 1538711015
Internal Medicine in Grand Rapids, MI

Active since July 15, 2019PECOS Enrolled
300 LAFAYETTE AVE SE STE 3000, GRAND RAPIDS, MI 49503(616) 685-6919 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2022, Jul 15, 2019 (2 updates tracked since 2019).

About Olawale Olanisa Md NPPES

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

OLAWALE OLANISA MD (NPI 1538711015) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4351049060) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538711015
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameOLAWALE OLANISACredential: MD
Location Address300 LAFAYETTE AVE SE STE 3000Grand Rapids, MI 49503-4692
Mailing Address200 Jefferson Ave Se Ste 305Grand Rapids, MI 49503-4502 · (616) 685-4615 · Fax (616) 685-3033
Phone(616) 685-6919
Sole ProprietorNo
Enumeration DateJuly 15, 2019
Last NPPES UpdateApril 5, 20222 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
✔ NPI 1538711015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4351049060
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
300 LAFAYETTE AVE SE STE 3000, Grand Rapids, MI 49503
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olawale Olanisa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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.

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.

STEVEN JAMES STANTON MD
Internal Medicine
300 LAFAYETTE AVE SE STE 3000
GRAND RAPIDS, MI 49503
Kent County (616) 685-6919
ANUOLUWAPO OMOBOLANLE KOLAWOLE DO
Internal Medicine
300 LAFAYETTE AVE SE STE 3000
GRAND RAPIDS, MI 49503
Kent County (616) 685-6919
MADISON CHRISTINE JONES DO
Internal Medicine
300 LAFAYETTE AVE SE STE 3000
GRAND RAPIDS, MI 49503
Kent County (616) 685-6919
CATHERINE CARLE MD
Internal Medicine
300 LAFAYETTE AVE SE STE 3000
GRAND RAPIDS, MI 49503
Kent County (616) 685-6919
PATRICK DANIEL PAWLACZYK MD
Internal Medicine
300 LAFAYETTE AVE SE STE 3000
GRAND RAPIDS, MI 49503
Kent County (616) 685-6919
ZAIN KHURRAM SIDDIQUI DO
Internal Medicine
300 LAFAYETTE AVE SE STE 3000
GRAND RAPIDS, MI 49503
Kent County (616) 685-6919
MR. MICHAEL JAMES KOPKA I MD
Internal Medicine
300 LAFAYETTE AVE SE STE 3000
GRAND RAPIDS, MI 49503
Kent County (616) 685-6919
KEERTHI KIRAN SAJJA DO
Internal Medicine
300 LAFAYETTE AVE SE STE 3000
GRAND RAPIDS, MI 49503
Kent County (616) 685-4615

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 Olawale Olanisa's NPI number?

The NPI number for Olawale Olanisa is 1538711015. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Olawale Olanisa located?

Olawale Olanisa practices at 300 Lafayette Ave SE Ste 3000, Grand Rapids, MI 49503. The listed phone number is (616) 685-6919.

What is Olawale Olanisa's specialty?

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

Is Olawale Olanisa enrolled in Medicare?

Yes. Olawale Olanisa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olawale Olanisa was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.