GABRIEL BOLADELE ROSANWO MD
NPI 1598740466
Obstetrics & Gynecology in South Bend, IN

Active since December 13, 2005PECOS Enrolled
100 NAVARRE PL STE 4470, SOUTH BEND, IN 46601(574) 647-1405(574) 647-3970 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2026, Dec 18, 2025, Apr 16, 2024 and 2 more (5 updates tracked since 2021).

About Gabriel Boladele Rosanwo Md NPPES

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

GABRIEL BOLADELE ROSANWO MD (NPI 1598740466) is an individual obstetrics & gynecology provider in South Bend, Indiana, licensed in Indiana (01080180A) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in South Bend.

NPPES Registry Identity

NPI1598740466
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameGABRIEL BOLADELE ROSANWOCredential: MD
Location Address100 NAVARRE PL STE 4470South Bend, IN 46601-1168
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380
Fax(574) 647-3970
Sole ProprietorYes
Enumeration DateDecember 13, 2005
Last NPPES UpdateJuly 8, 20265 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1598740466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IN · 01080180A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 01080180A (IN)
100 NAVARRE PL STE 4470, South Bend, IN 46601

Secondary Practice Location 1

Location 1714 N Michigan StSouth Bend, IN 46601-1035 · Phone (574) 647-7477 · Fax (574) 647-3655

Other Identifiers 1

Medicaid300012787IN

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)

Gabriel Boladele Rosanwo 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.

Medicare Billing Reassignments

13

Medicare enrollment records show Gabriel Rosanwo reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
100 NAVARRE PL STE 5550
South Bend, IN 46601
  • Reassigned Medicare billing, Indiana enrollment
  • 734 clinicians in this Medicare group
Neonatal-Perinatal Medicine
615 N MICHIGAN ST
South Bend, IN 46601
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Pediatrix Medical Group Of Indiana, P.C.
  • 13 clinicians in this Medicare group
Obstetrics & Gynecology
3249 OAK PARK AVE
Berwyn, IL 60402
  • Reassigned Medicare billing, Illinois enrollment
  • 219 clinicians in this Medicare group
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
Obstetrics & Gynecology
205 N EAST AVE
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • 37 clinicians in this Medicare group
General Acute Care Hospital
395 WESTFIELD RD
Noblesville, IN 46060
  • Reassigned Medicare billing, Indiana enrollment
  • 303 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Rural Health
2005 STATE ST, SUITE A
Washington, IN 47501
  • Reassigned Medicare billing, Indiana enrollment
  • 171 clinicians in this Medicare group
Emergency Medical Services
642 W HOSPITAL RD
Paoli, IN 47454
  • Reassigned Medicare billing, Indiana enrollment
  • 52 clinicians in this Medicare group
Obstetrics & Gynecology
3700 WASHINGTON AVE
Evansville, IN 47750
  • Reassigned Medicare billing, Indiana enrollment
  • 81 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 46601 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 13

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

Advanced Practice Midwife
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601
Advanced Practice Midwife
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601
Nurse Practitioner (Women's Health)
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601
Advanced Practice Midwife
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601
Obstetrics & Gynecology
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601
Obstetrics & Gynecology
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601
Advanced Practice Midwife
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601
Nurse Practitioner (Women's Health)
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601

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 Gabriel Rosanwo's NPI number?

The NPI number for Gabriel Rosanwo is 1598740466. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Gabriel Rosanwo located?

Gabriel Rosanwo practices at 100 Navarre Pl Ste 4470, South Bend, IN 46601. The listed phone number is (574) 647-1405.

What is Gabriel Rosanwo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Gabriel Rosanwo enrolled in Medicare?

Yes. Gabriel Rosanwo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gabriel Rosanwo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabriel Rosanwo reassigns Medicare benefits to 13 organizations: Beacon Medical Group, Inc. (South Bend, IN), Pediatrix Medical Group Of Indiana, PC (South Bend, IN), Obhg Illinois Sc (Berwyn, IL), Central Dupage Physician Group (Carol Stream, IL), Obhg Michigan, PC (Jackson, MI) and 8 more organizations, listed in the Medicare section above. 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 Gabriel Rosanwo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gabriel Rosanwo accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource, Cigna Healthcare and Molina Healthcare and 4 other insurers list Gabriel Rosanwo 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 Gabriel Rosanwo was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.