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SOFIA OLUWOLE MD, PHD
NPI 1982285631
Dermatology in Bridgeport, CT

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment
2800 MAIN STREET, DEPARTMENT OF MEDICINE, BRIDGEPORT, CT 06606(475) 210-5791 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 16, 2025, Apr 15, 2021 (2 updates tracked since 2021).

About Sofia Oluwole Md, Phd NPPES

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

SOFIA OLUWOLE MD, PHD (NPI 1982285631) is an individual dermatology provider in Bridgeport, Connecticut, licensed in Illinois (036177634) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and maintains a secondary practice location in Mokena.

NPPES Registry Identity

NPI1982285631
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSOFIA OLUWOLECredential: MD, PHD
Location Address2800 MAIN STREET, DEPARTMENT OF MEDICINEBridgeport, CT 06606
Mailing Address2800 Main StBridgeport, CT 06606-4201
Phone(475) 210-5791
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 15, 2021
Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1982285631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 036177634
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2800 MAIN STREET, Bridgeport, CT 06606
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Secondary Practice Location 1

Location 121202 Owens Rd Ste 300Mokena, IL 60448-2038 · Phone (779) 334-0180 · Fax (779) 334-0181

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

Sofia Oluwole Md, Phd 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 ID1456839521
PECOS Enrollment IDI20260129003744
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.

Hospital Affiliations CMS Care Compare

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06606 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

PRIYANSHI ASHOKBHAI JOSHI MBBS
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 576-6000
KELLY TAKACS
Nurse Anesthetist, Certified Registered
2800 MAIN STREET, SAINT VINCENTS MEDICAL CENTER
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 929-7353
MUHAMMAD HAMZA AKHTAR MD
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPT OF MEDICINE
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-5425
NIKITHA KARKALA
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPARTMENT OF MEDICINE
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-5791
MS. KRISHNA SINGH M.B.B.S
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPARTMENT OF MEDICAL EDUCATION
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-5425
MR. PHENYO VICTOR PHUU M.D.
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPARTMENT OF MEDICAL EDUCATION
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-5440
MR. MAHEEP CHOWDARY ACHANTA MBBS
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPARTMENT OF MEDICAL EDUCATION
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-4930
RAVINDERJEET KAUR PUAR M.B.B.S.
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPARTMENT OF MEDICAL EDUCATION
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-5440

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 Sofia Oluwole's NPI number?

The NPI number for Sofia Oluwole is 1982285631. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Sofia Oluwole located?

Sofia Oluwole practices at 2800 Main Street Department Of Medicine, Bridgeport, CT 06606. The listed phone number is (475) 210-5791.

What is Sofia Oluwole's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Sofia Oluwole enrolled in Medicare?

Yes. Sofia Oluwole 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 Sofia Oluwole affiliated with any hospitals?

According to CMS data, Sofia Oluwole is affiliated with Palos Community Hospital.

When was this NPI record last updated?

The NPPES record for Sofia Oluwole was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.