Active NPI
Ibrahim Atsejuwawe Usman-Oyowe, M.D
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD456524
- Practice address
- 5841 S Maryland Ave
Chicago, IL 60637-1447 - Phone
- (773) 702-1000
- NPI assigned
- Jun 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125061518 | IL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD456524 | PA | Primary |
Addresses
Primary practice location
5841 S Maryland Ave
Chicago, IL 60637-1447
Mailing address
1800 Lombard St
Ground FLR
Philadelphia, PA 19146
Phone (215) 662-3259
Other practice location 1
103 James St
Adel, GA 31620-1504
Phone (229) 896-3424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Georgetown University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 259-4291
3527 N Valdosta Rd
Valdosta, GA 31602-6418
Phone (229) 247-2290
Hospital & facility affiliations
- Amedisys Home Health of Valdosta
- Crescent Home Health
- SGMC Health
- South Georgia Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125061518 | IL | MD | Internal Medicine Physician |
| MD456524 | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of Valdosta and Lowndes County, Georgia | Current | Accepting new patients | |
| Care Medical Center LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| South Georgia Medical Center Inc | Current | Accepting new patients | |
| Valdosta Orthopedic Associates PC | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County Georgia | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County Georgia | Current | Accepting new patients | |
| Care Medical Center LLC | Current | Accepting new patients | |
| South Georgia Medical Center Inc | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County Georgia | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County Georgia | Past | Accepting new patients |
Locations
103 James St
Adel, GA 31620
Phone (229) 245-0666
2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
3527 N Valdosta Rd
Ste B
Valdosta, GA 31602
Phone (229) 247-2290
2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925
3526 N Crossing Cir
Valdosta, GA 31602
Phone (229) 247-2290
3520 N Crossing Cir
Valdosta, GA 31602
Phone (229) 242-8394
3527 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 247-2290
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- ibrahim.usman-oyowe.1@11118.direct.athenahealth.com
- https://api.platform.athenahealth.com/11118/brand/5/csg/22/fhir/r4
Organizations & group practices 11
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.
-
- General Acute Care Hospital
- Valdosta, GA
- NPI 1144096553
-
- Orthopaedic Surgery Physician
- Valdosta, GA
- NPI 1053457457
-
- Exclusive Provider Organization
- Valdosta, GA
- NPI 1063521250
Physical Medicine & Rehabilitation
-
- General Acute Care Hospital
- Valdosta, GA
- NPI 1306896253
-
- Chiropractor
- Waycross, GA
- NPI 1376236232
-
- Psychiatric Hospital Unit
- Valdosta, GA
- NPI 1033160791
-
- Nursing Facility/Intermediate Care Facility
- Lakeland, GA
- NPI 1194141549
-
- Emergency Medicine Physician
- Valdosta, GA
- NPI 1457648313
-
- Ambulance
- Valdosta, GA
- NPI 1558141671
-
- Critical Access Hospital
- Lakeland, GA
- NPI 1215703632
-
- Ophthalmology Physician
- Tifton, GA
- NPI 1790280857
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Valdosta, GA
- NPI 1720036494
-
- General Acute Care Hospital
- Valdosta, GA
- NPI 1144096553
-
- Rehabilitation Hospital Unit
- Valdosta, GA
- NPI 1598531907
Inpatient rehabilitation facility
-
- Home Health Agency
- Adel, GA
- NPI 1457583718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1255695136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 LOMBARD ST",
"address_2": "GROUND FLR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19146",
"telephone_number": "215-662-3259",
"fax_number": "215-615-3610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371447",
"telephone_number": "773-702-1000"
}
],
"practiceLocations": [
{
"address_1": "103 James St",
"address_purpose": "LOCATION",
"city": "Adel",
"state": "GA",
"postal_code": "316201504",
"country_code": "US",
"telephone_number": "229-896-3424",
"fax_number": "229-896-3838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "USMAN-OYOWE",
"first_name": "IBRAHIM",
"middle_name": "ATSEJUWAWE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125061518",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD456524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.