BAMISEGUN VICTOR OLOWOFOYEKU M.D.
NPI 1669506861
Psychiatry & Neurology - Addiction Medicine in Charlotte, NC

Q: What is Bamisegun Olowofoyeku's NPI number?

The NPI number for Bamisegun Olowofoyeku is 1669506861. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Q: What is Bamisegun Olowofoyeku's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Active since March 16, 2007PECOS EnrolledAccepts Medicare Assignment

508 EASTWAY DR, CHARLOTTE, NC 28205(704) 248-0246(704) 467-8351 Get Directions Write a Review

NPPES record last updated: April 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 4, 2020, Jul 2, 2019, Apr 27, 2019 (3 updates tracked since 2019).

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About Bamisegun Victor Olowofoyeku M.d. NPPES

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

BAMISEGUN VICTOR OLOWOFOYEKU M.D. (NPI 1669506861) is an individual addiction medicine provider in Charlotte, North Carolina, licensed in North Carolina (25939) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Howard University College Of Medicine (1975).

NPPES Registry Identity

NPI1669506861

Entity TypeIndividualMale

Primary Taxonomy2084A0401X

Provider Legal NameBAMISEGUN VICTOR OLOWOFOYEKUCredential: M.D.

Location Address508 EASTWAY DRCharlotte, NC 28205

Mailing Address8039 Grove Hall AveMint Hill, NC 28227-3731 · (704) 482-1450

Phone(704) 248-0246

Fax(704) 467-8351

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 1975

Enumeration DateMarch 16, 2007

Last NPPES UpdateApril 4, 20203 updates tracked since enumeration

NPPES CertifiedApril 4, 2020

✔ NPI 1669506861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084A0401X

License✔ Licensed in NC · 25939

Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Also ListedInternal MedicineTaxonomy 207R00000X · License 25939 (NC)

Also ListedSurgeryTaxonomy 208600000X · License 25939 (NC)

508 EASTWAY DR, Charlotte, NC 28205

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Secondary Practice Locations 2

Location 1508 Eastway DrCharlotte, NC 28205 · Phone (704) 248-0246 · Fax (704) 467-8351

Location 24200 Moorland DrCharlotte, NC 28226-1112 · Phone (704) 541-3172

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bamisegun Victor Olowofoyeku M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406986660

PECOS Enrollment IDI20100615000099

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 Reassignment

Medicare enrollment records show Bamisegun Olowofoyeku reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Zenith Hope Center

Same address

Community/Behavioral Health

508 EASTWAY DR
Charlotte, NC 28205

Reassigned Medicare billing, North Carolina enrollment
2 clinicians in this Medicare group

NPI 1336693852 (704) 248-0246

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 28205 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 5

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

LINDA DARNELL OLOWOFOYEKU RN

Registered Nurse (Addiction (Substance Use Disorder))

508 EASTWAY DR
CHARLOTTE, NC 28205

Mecklenburg County (704) 248-0246

ZENITH HOPE CENTER

Community/Behavioral Health

508 EASTWAY DR
CHARLOTTE, NC 28205

Mecklenburg County (704) 248-0246

MR. MITCHELL EDWARDS CADC

Counselor (Addiction (Substance Use Disorder))

508 EASTWAY DR
CHARLOTTE, NC 28205

Mecklenburg County (704) 248-0246

ASHLEY CAUDLE

Counselor (Addiction (Substance Use Disorder))

508 EASTWAY DR
CHARLOTTE, NC 28205

Mecklenburg County (704) 940-6542

THE WOMEN'S CARE CENTER

Clinic/Center (Medical Specialty)

508 EASTWAY DR, STE. A
CHARLOTTE, NC 28205

Mecklenburg County (704) 375-0592

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 Bamisegun Olowofoyeku's NPI number?

The NPI number for Bamisegun Olowofoyeku is 1669506861. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Bamisegun Olowofoyeku located?

Bamisegun Olowofoyeku practices at 508 Eastway Dr, Charlotte, NC 28205. The listed phone number is (704) 248-0246.

What is Bamisegun Olowofoyeku's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Is Bamisegun Olowofoyeku enrolled in Medicare?

Yes. Bamisegun Olowofoyeku is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Bamisegun Olowofoyeku's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bamisegun Olowofoyeku reassigns Medicare benefits to Zenith Hope Center (Charlotte, NC). The 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 Bamisegun Olowofoyeku's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bamisegun Olowofoyeku accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Bamisegun Olowofoyeku 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 Bamisegun Olowofoyeku was last updated on April 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.