Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OLUBUSOLA ZAINAB SHIFATU MD
NPI 1932782125
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Charlotte, NC

Q: What is Olubusola Shifatu's NPI number?

The NPI number for Olubusola Shifatu is 1932782125. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Q: What is Olubusola Shifatu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Olubusola Shifatu was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.

Active since May 04, 2021PECOS Enrolled

1900 RANDOLPH RD STE 1010, CHARLOTTE, NC 28207(704) 384-1390(704) 384-1063 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2026, May 4, 2021 (2 updates tracked since 2021).

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About Olubusola Zainab Shifatu Md NPPES

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

OLUBUSOLA ZAINAB SHIFATU MD (NPI 1932782125) is an individual neurology with special qualifications in child neurology provider in Charlotte, North Carolina, licensed in North Carolina (2026-03799) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1932782125

Entity TypeIndividualFemale

Primary Taxonomy2084N0402X

Provider Legal NameOLUBUSOLA ZAINAB SHIFATUCredential: MD

Location Address1900 RANDOLPH RD STE 1010Charlotte, NC 28207-1117

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 384-1390

Fax(704) 384-1063

Sole ProprietorNo

Enumeration DateMay 4, 2021

Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2026

✔ NPI 1932782125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in NC · 2026-03799

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1900 RANDOLPH RD STE 1010, Charlotte, NC 28207

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Secondary Practice Location 1

Location 1111 Michigan Ave NWWashington, DC 20010-2916 · Phone (202) 476-3670 · Fax (202) 476-4741

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olubusola Zainab Shifatu 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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 11

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

NOVANT MEDICAL GROUP, INC.

Neurological Surgery