KIANDRA SADE OLUFOWOBI
NPI 1609339985
Neurological Surgery in New York, NY

Active since April 12, 2019PECOS Enrolled
1 GUSTAVE L LEVY PL # 1136, NEW YORK, NY 10029(203) 610-9381 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2020, Apr 12, 2019 (2 updates tracked since 2019).

About Kiandra Sade Olufowobi NPPES

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

KIANDRA SADE OLUFOWOBI (NPI 1609339985) is an individual neurological surgery provider in New York, New York, licensed in New York (026130) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609339985
Entity TypeIndividualFemale
Primary Taxonomy207T00000X
Provider Legal NameKIANDRA SADE OLUFOWOBI
Location Address1 GUSTAVE L LEVY PL # 1136New York, NY 10029-6504
Mailing Address324 E 81st St Apt 5fwNew York, NY 10028-3930 · (203) 610-9381
Sole ProprietorYes
Enumeration DateApril 12, 2019
Last NPPES UpdateJune 18, 20262 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
NPI 1609339985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in NY · 026130
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1 GUSTAVE L LEVY PL # 1136, New York, NY 10029

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kiandra Sade Olufowobi 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 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 6

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

Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1136
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1136
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1136
NEW YORK, NY 10029
Clinical Neuropsychologist
1 GUSTAVE L LEVY PL # 1136, ANNENBERG 8TH FL, NEUROSURGERY OR
NEW YORK, NY 10029
Nurse Practitioner (Family)
1 GUSTAVE L LEVY PL # 1136, ANNENBERG BLDG 8-90
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1136
NEW YORK, NY 10029

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 Kiandra Olufowobi's NPI number?

The NPI number for Kiandra Olufowobi is 1609339985. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Where is Kiandra Olufowobi located?

Kiandra Olufowobi practices at 1 Gustave L Levy Pl # 1136, New York, NY 10029. The listed phone number is (203) 610-9381.

What is Kiandra Olufowobi's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Kiandra Olufowobi enrolled in Medicare?

Yes. Kiandra Olufowobi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kiandra Olufowobi was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.