Individual provider Active NPI

Ayodele Osowo, MD

  • Gastroenterology Physician
  • Orland Park, IL
National Provider Identifier
1063552479
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036170056 Issued in IL
Practice address
15300 West Ave Ste 210
Orland Park, IL 60462-4686
Phone
(708) 226-2870
Fax
(708) 226-2315
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X N2702 TX
Hepatology Physician 207RI0008X 37303 AZ
Gastroenterology Physician 207RG0100X 2025039077 MO
Gastroenterology Physician 207RG0100X 036170056 IL Primary

Addresses

Primary practice location

15300 West Ave Ste 210
Orland Park, IL 60462-4686

Mailing address

301 Highlander Blvd
Suite 121
Arlington, TX 76018-1163
Phone (817) 468-7200

Other practice location 1

301 Highlander Blvd
Suite 121
Arlington, TX 76018-1163
Phone (817) 468-7200

Other practice location 2

3901 S Fremont Ave Fl 4
Springfield, MO 65804-6538
Phone (417) 875-3250

Other practice location 3

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

Other identifiers 1

IdentifierTypeStateIssuer
8CW357OtherTXBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, IL, MO4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20110908001759 TX Practitioner - Gastroenterology 8628161833 Reassigns benefits to 1 organization
I20210810002467 NM Practitioner - GastroenterologyPractitioner - Internal Medicine 8628161833 Reassigns benefits to 1 organization
I20240618001080 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 8628161833 Reassigns benefits to 2 organizations
I20251112002875 MO Practitioner - Internal Medicine 8628161833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Heights Medical Group SCGroup PAC ID 6800784083, 448 clinicians
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians
Gastroenterology Practice Associates, PLLCGroup PAC ID 0143367342, 6 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240

11155 Dunn Rd
Suite 309E
Saint Louis, MO 63136-6111
Phone (314) 953-8799

1404 Cross St
Shiloh, IL 62269-2988
Phone (618) 607-3055

1418 Cross St
Suite 350
Shiloh, IL 62269-2988
Phone (618) 607-3900

15300 W Ave
Suite 210
Orland Park, IL 60462-4686
Phone (708) 226-2890

301 Highlander Blvd
Suite 121
Arlington, TX 76018-1164
Phone (817) 468-7200

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

Hospital & facility affiliations

  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180
  • Usmd Hospital at Arlington L P Hospital, Arlington, TX, CCN 450872
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy141
Upper gastrointestinal (GI) endoscopy for acid reflux151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2025039077MOMDGastroenterology Physician
N2702TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Jun 1, 2024 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Sep 29, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jun 1, 2024 Accepting new patients
Gastroenterology Practice Associates, PLLC Gastroenterology CurrentSince Jul 1, 2011 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Sep 29, 2025 Accepting new patients
Las Cruces Physician Services LLC CurrentSince Jul 1, 2021 Accepting new patients
Familycare Associates,PA Family Medicine Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

15300 West Ave
Ste 210
Orland Park, IL 60462
Phone (708) 226-2870

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

11155 Dunn Rd
Ste 309E
Saint Louis, MO 63136
Phone (314) 741-9010

11155 Dunn Rd
Ste 109N
Saint Louis, MO 63136
Phone (314) 837-3784

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

301 Highlander Blvd
Ste 121
Arlington, TX 76018
Phone (817) 332-7600

200 Pecan Crk
Southlake, TX 76092
Phone (817) 468-7200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFAHAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFAHAA/Endpoint/CFAHAA
  • Direct secure messaging: ayodele.osowo@gpap.eclinicaldirectplus.com

Organizations & group practices 8

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 7

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1063552479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGHLANDER BLVD",
            "address_2": "SUITE 121",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181163",
            "telephone_number": "817-468-7200",
            "fax_number": "817-468-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 210",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624686",
            "telephone_number": "708-226-2870",
            "fax_number": "708-226-2315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Highlander Blvd",
            "address_2": "Suite 121",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760181163",
            "country_code": "US",
            "telephone_number": "817-468-7200",
            "fax_number": "817-468-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 S Fremont Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658046538",
            "country_code": "US",
            "telephone_number": "417-875-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265360",
            "country_code": "US",
            "telephone_number": "618-257-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSOWO",
        "first_name": "AYODELE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "N2702",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "AZ",
            "license": "37303",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2025039077",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036170056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CW357",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4500 Memorial Dr",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.