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BENJAMIN OTIWU
NPI 1992486591
Nurse Anesthetist, Certified Registered in Buford, GA

Active since July 26, 2023Accepts Medicare Assignment
3965 BRADFORD WALK TRL, BUFORD, GA 30519(678) 488-1093 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 10, 2024, Jul 26, 2023 (2 updates tracked since 2023).

About Benjamin Otiwu NPPES

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

BENJAMIN OTIWU (NPI 1992486591) is an individual nurse anesthetist, certified registered in Buford, Georgia, licensed in Georgia (148574) and active in the NPI registry since July 2023. He is affiliated with Emory Johns Creek Hospital and is a graduate of Other (2024).

NPPES Registry Identity

NPI1992486591
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBENJAMIN OTIWU
Location Address3965 BRADFORD WALK TRLBuford, GA 30519-7840
Mailing Address3965 Bradford Walk TrlBuford, GA 30519-7840 · (678) 488-1093
Phone(678) 488-1093
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 26, 2023
Last NPPES UpdateMay 10, 20242 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1992486591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in GA · 148574
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN283773 (GA)
3965 BRADFORD WALK TRL, Buford, GA 30519
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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

Benjamin Otiwu 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 ID4880130210
PECOS Enrollment IDI20240722004054

Hospital Affiliations CMS Care Compare

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

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30519 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.

Other Providers at the Same Location NPPES 2

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

JUSTIN OTIWU
Home Health Aide
3965 BRADFORD WALK TRL
BUFORD, GA 30519
Gwinnett County (770) 355-4114
FIRST TRINITY HOMECARESERVICES INC.
Nursing Care
3965 BRADFORD WALK TRL
BUFORD, GA 30519
Gwinnett County (770) 831-0013

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 Benjamin Otiwu's NPI number?

The NPI number for Benjamin Otiwu is 1992486591. It was assigned to this individual provider in the NPPES registry on July 26, 2023.

Where is Benjamin Otiwu located?

Benjamin Otiwu practices at 3965 Bradford Walk Trl, Buford, GA 30519. The listed phone number is (678) 488-1093.

What is Benjamin Otiwu's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Benjamin Otiwu enrolled in Medicare?

Yes. Benjamin Otiwu 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 Benjamin Otiwu affiliated with any hospitals?

According to CMS data, Benjamin Otiwu is affiliated with Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Otiwu was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.