OLUFUNSO W ODUNUKAN MD
NPI 1780815308
Internal Medicine - Interventional Cardiology in Prescott, AZ

Active since July 30, 2009PECOS EnrolledAccepts Medicare Assignment
1001 WILLOW CREEK RD STE 2200, PRESCOTT, AZ 86301(928) 445-6025(928) 778-3026 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Apr 13, 2022, Apr 19, 2021 and 4 more (7 updates tracked since 2018).

About Olufunso W Odunukan Md NPPES

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

OLUFUNSO W ODUNUKAN MD (NPI 1780815308) is an individual interventional cardiology provider in Prescott, Arizona, licensed in Arizona (65997) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1780815308
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameOLUFUNSO W ODUNUKANCredential: MD
Location Address1001 WILLOW CREEK RD STE 2200Prescott, AZ 86301-1614
Mailing AddressPo Box 10880Prescott, AZ 86304-0880 · (928) 759-5874 · Fax (928) 458-2039
Fax(928) 778-3026
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 30, 2009
Last NPPES UpdateMarch 7, 20237 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
NPI 1780815308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses Licensed in AZ · 65997 Licensed in GA · 80736
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 20655 (NV)
Also ListedHospitalistTaxonomy 208M00000X · License 8441 (SD)
1001 WILLOW CREEK RD STE 2200, Prescott, AZ 86301

Secondary Practice Location 1

Location 15380 S Rainbow Blvd Ste 226Las Vegas, NV 89118-1879 · Phone (702) 260-0022 · Fax (702) 260-0200

Other Identifiers 2

Medicaid250011662NV
Other65997AZ · Arizona Medical Board

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Olufunso W Odunukan Md 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 ID9537332143
PECOS Enrollment IDI20220405000975
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.

Areas of Expertise CMS Part B claims 26

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
344 services265 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
181 services176 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
119 services111 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
96 services90 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
87 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
63 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Nurse Practitioner (Adult Health)
1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ 86301
Internal Medicine (Cardiovascular Disease)
1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ 86301
Nurse Practitioner (Family)
1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ 86301
Physician Assistant
1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ 86301
Internal Medicine (Clinical Cardiac Electrophysiology)
1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ 86301
Physician Assistant (Medical)
1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ 86301
Internal Medicine (Cardiovascular Disease)
1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ 86301
Internal Medicine (Interventional Cardiology)
1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ 86301

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 Olufunso Odunukan's NPI number?

The NPI number for Olufunso Odunukan is 1780815308. It was assigned to this individual provider in the NPPES registry on July 30, 2009.

Where is Olufunso Odunukan located?

Olufunso Odunukan practices at 1001 Willow Creek Rd Ste 2200, Prescott, AZ 86301. The listed phone number is (928) 445-6025.

What is Olufunso Odunukan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Olufunso Odunukan enrolled in Medicare?

Yes. Olufunso Odunukan 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.

What insurance does Olufunso Odunukan accept?

Health plans from Blue Cross Blue Shield of Arizona list Olufunso Odunukan 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 Olufunso Odunukan was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.