MR. KOLAWOLE OMODAYO ATANDEYI M.D
NPI 1669608436
Internal Medicine - Critical Care Medicine in Atlanta, GA
About Mr. Kolawole Omodayo Atandeyi M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KOLAWOLE OMODAYO ATANDEYI M.D (NPI 1669608436) is an individual critical care medicine provider in Atlanta, Georgia, licensed in Georgia (073915) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Memorial City Hospital, and maintains a secondary practice location in Gainesville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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 and accepts Medicare assignment
Mr. Kolawole Omodayo Atandeyi 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.
Medicare Billing Reassignments
15Medicare enrollment records show Kolawole Atandeyi reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jasper, GA 30143
- Reassigned Medicare billing, Georgia enrollment
- 317 clinicians in this Medicare group
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 1,172 clinicians in this Medicare group
Carrollton, GA 30117
- Reassigned Medicare billing, Georgia enrollment
- 335 clinicians in this Medicare group
Boca Raton, FL 33431
- Reassigned Medicare billing, Texas enrollment
- 34 clinicians in this Medicare group
Beaumont, TX 77702
- Reassigned Medicare billing, Texas enrollment
- 84 clinicians in this Medicare group
Tyler, TX 75702
- Reassigned Medicare billing, Texas enrollment
- 2,745 clinicians in this Medicare group
Kingwood, TX 77339
- Reassigned Medicare billing, Texas enrollment
- 17 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Texas enrollment
- 2,009 clinicians in this Medicare group
Houston, TX 77090
- Reassigned Medicare billing, Texas enrollment
- 88 clinicians in this Medicare group
Dallas, TX 75231
- Reassigned Medicare billing, Texas enrollment
- 1,208 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hermann Memorial City Hospital
Acute Care Hospitals · Houston, TXHca Houston Healthcare West
Acute Care Hospitals · Houston, TXMemorial Hermann Sugar Land Hospital
Acute Care Hospitals · Sugar Land, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30342 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
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 Kolawole Atandeyi's NPI number?
The NPI number for Kolawole Atandeyi is 1669608436. It was assigned to this individual provider in the NPPES registry on June 5, 2009.
Where is Kolawole Atandeyi located?
Kolawole Atandeyi practices at 960 Johnson Ferry Rd Ste 500, Atlanta, GA 30342. The listed phone number is (404) 257-0006.
What is Kolawole Atandeyi's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Kolawole Atandeyi enrolled in Medicare?
Yes. Kolawole Atandeyi 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 organizations bill Medicare for Kolawole Atandeyi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kolawole Atandeyi reassigns Medicare benefits to 15 organizations: Piedmont Specialty Hospital Billing LLC (Jasper, GA), Northeast Georgia Physicians Group Inc (Gainesville, GA), Apogee Medical Group Georgia Inc (Carrollton, GA), Nuview Health Texas PA (Boca Raton, FL), Southeast Texas Intensivists, PLLC (Beaumont, TX) and 10 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 Kolawole Atandeyi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kolawole Atandeyi accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health, Oscar Insurance Company and WellPoint list Kolawole Atandeyi 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.
Is Kolawole Atandeyi affiliated with any hospitals?
According to CMS data, Kolawole Atandeyi is affiliated with Memorial Hermann Memorial City Hospital, Hca Houston Healthcare West and Memorial Hermann Sugar Land Hospital.
When was this NPI record last updated?
The NPPES record for Kolawole Atandeyi was last updated on May 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Kolawole Omodayo Atandeyi, M.D · NPI 1669608436
Critical Care Medicine physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since June 5, 2009.
## Identity
- **NPI:** 1669608436 (Entity type: Individual)
- **Enumerated:** June 5, 2009
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 073915 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 960 JOHNSON FERRY RD STE 500, Atlanta, GA 30342-1630
- **Phone:** (404) 257-0006 · **Fax:** (404) 851-1316
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 15 organizations under Medicare reassignment (form CMS-855R): Piedmont Specialty Hospital Billing LLC (NPI 1699290510, Jasper, GA); Northeast Georgia Physicians Group Inc (NPI 1891745212, Gainesville, GA); Apogee Medical Group Georgia Inc (NPI 1629025143, Carrollton, GA); Nuview Health Texas PA (NPI 1922538461, Boca Raton, FL); Southeast Texas Intensivists, PLLC (NPI 1801579867, Beaumont, TX); and 10 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** May 23, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1669608436) · Data from the CMS NPPES public registry.