DR. MODELE O. OGUNNIYI MD, MPH
NPI 1972650794
Internal Medicine - Cardiovascular Disease in Atlanta, GA

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
80 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 616-4440(404) 616-4400 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Modele O. Ogunniyi Md, Mph NPPES

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

DR. MODELE O. OGUNNIYI MD, MPH (NPI 1972650794) is an individual cardiovascular disease provider in Atlanta, Georgia, licensed in Georgia (059841) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1972650794
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MODELE O. OGUNNIYICredential: MD, MPH
Location Address80 JESSE HILL JR DR SEAtlanta, GA 30303-3050
Mailing Address49 Jesse Hill Jr Dr, Emory Univ Som, Div Of CardiologyAtlanta, GA 30303 · (404) 616-4440 · Fax (404) 616-4400
Fax(404) 616-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJanuary 4, 2007
Last NPPES UpdateMay 31, 2018
NPI 1972650794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in GA · 059841
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 059841 (GA)
80 JESSE HILL JR DR SE, Atlanta, GA 30303

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

Dr. Modele O. Ogunniyi Md, Mph 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 ID2769572437
PECOS Enrollment IDI20071218000474
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 6

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
154 services103 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.
60 services60 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
14 services14 patients
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.
14 services14 patients
Ultrasound of heart blood flow, valves and chambers, follow-up 93321
This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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.

Internal Medicine (Cardiovascular Disease)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Nurse Practitioner (Acute Care)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Internal Medicine (Rheumatology)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Pharmacist
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Psychologist (Clinical)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Counselor (Mental Health)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Anesthesiologist Assistant
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Anesthesiologist Assistant
80 JESSE HILL JR DR SE
ATLANTA, GA 30303

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 Modele Ogunniyi's NPI number?

The NPI number for Modele Ogunniyi is 1972650794. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Modele Ogunniyi located?

Modele Ogunniyi practices at 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 616-4440.

What is Modele Ogunniyi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Modele Ogunniyi enrolled in Medicare?

Yes. Modele Ogunniyi 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.

Is Modele Ogunniyi affiliated with any hospitals?

According to CMS data, Modele Ogunniyi is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Modele Ogunniyi was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.