Individual provider Active NPI

Ibrahim Atsejuwawe Usman-Oyowe, M.D

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1255695136
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD456524 Issued in PA
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

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170908002217 GA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 7517274889 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Georgetown University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Medical Center IncGroup PAC ID 1052764677, 58 clinicians
Valdosta Orthopedic Associates PCGroup PAC ID 8325938491, 21 clinicians

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 Home health agency, Valdosta, GA, CCN 117114
  • Crescent Home Health Home health agency, Adel, GA, CCN 117087
  • SGMC Health Hospital, Valdosta, GA, CCN 110122
  • South Georgia Medical Center Inpatient rehabilitation facility, Valdosta, GA, CCN 11T122

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125061518ILMDInternal Medicine Physician
MD456524PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Valdosta and Lowndes County, Georgia CurrentSince Jan 1, 2019 Accepting new patients
Care Medical Center LLC Physical Medicine & Rehabilitation CurrentSince Jun 1, 2020 Accepting new patients
South Georgia Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Valdosta Orthopedic Associates PC CurrentSince Oct 1, 2017 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 CurrentSince Jun 1, 2020 Accepting new patients
South Georgia Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia CurrentSince Jan 1, 2019 Accepting new patients
Tift Regional Health System Inc CurrentSince Feb 1, 2019 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

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: ibrahim.usman-oyowe.1@11118.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.