NPIMap

Individual provider Active NPI

Olanrewaju Yusuf Jimoh, MD, MBA

  • Gastroenterology Physician
  • Charlotte, NC
National Provider Identifier
1053671586
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2018-00642 Issued in NC
Practice address
300 Billingsley Rd Ste 200
Charlotte, NC 28211
Phone
(704) 372-7974
NPI assigned
May 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TN
Gastroenterology Physician 207RG0100X 2018-00642 NC Primary

Addresses

Primary practice location

300 Billingsley Rd Ste 200
Charlotte, NC 28211

Mailing address

3426 Toringdon Way Ste 108
Charlotte, NC 28277-3497
Phone (704) 372-7974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180702000607 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 2163738626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Duke University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Digestive Health Associates PA 45 clinicians

Practice addresses (Care Compare)

300 Billingsley Rd
Suite 200
Charlotte, NC 28211-1180
Phone (704) 372-7974

Hospital & facility affiliations

  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183
  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001
  • Atrium Health University City Hospital, Charlotte, NC, CCN 340166
  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy143
Upper gastrointestinal (GI) endoscopy for acid reflux168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2018-00642NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Digestive Health Associates, PA Gastroenterology CurrentSince Jul 15, 2018 Accepting new patients
Carolina Digestive Health Associates, PA PastSince Oct 29, 2023 Accepting new patients

Locations

3426 Toringdon Way
Ste 108
Charlotte, NC 28277

300 Billingsley Rd
Ste 200
Charlotte, NC 28211
Phone (704) 372-3350

11301 Carmel Commons Blvd
Ste 302
Charlotte, NC 28226

705 Griffith St
Ste 205
Davidson, NC 28036
Phone (704) 799-2750

16455 Statesville Rd
Ste 114
Huntersville, NC 28078
Phone (704) 237-9290

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1053671586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 TORINGDON WAY STE 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773497",
            "telephone_number": "704-372-7974",
            "fax_number": "704-970-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BILLINGSLEY RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28211",
            "telephone_number": "704-372-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMOH",
        "first_name": "OLANREWAJU",
        "middle_name": "YUSUF",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2018-00642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.