Individual provider Active NPI

Morohunfolu Emmanuel Akinnusi, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Marietta, GA
National Provider Identifier
1356334668
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
064741 Issued in GA
Practice address
3750 Palladian Village Dr Ste 110
Marietta, GA 30066-8202
Phone
(678) 878-2555
Fax
(404) 900-9055
NPI assigned
Aug 23, 2005
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA11660700 NJ
Pulmonary Disease Physician 207RP1001X 064741 GA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 064741 GA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 064741 GA Primary

Addresses

Primary practice location

3750 Palladian Village Dr Ste 110
Marietta, GA 30066-8202

Mailing address

3600 Route 66 FL 3
Neptune, NJ 07753-2645
Phone (732) 807-0877

Other practice location 1

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (732) 783-4746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA, IN, FL, NJ5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20050608000887 NY Practitioner - Pulmonary Disease 8022080530
I20101022000764 GA Practitioner - Sleep MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8022080530 Reassigns benefits to 1 organization
Practice locations: Atlanta, GA; East Point, GA; Jasper, GA; Riverdale, GA
I20220623002759 IN Practitioner - Critical Care (Intensivists) 8022080530 Reassigns benefits to 1 organization
I20220704000419 FL Practitioner - Critical Care (Intensivists) 8022080530 Reassigns benefits to 1 organization
I20221208003299 NJ Practitioner - Critical Care (Intensivists) 8022080530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002345NYMDMidwife
064741GAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ICU NJ, PC CurrentSince Dec 8, 2022 Accepting new patients
Nuview Health Indiana PC Critical Care Medicine CurrentSince Jun 22, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 16, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 16, 2024 Accepting new patients
Nuview Telehealth, LLC Critical Care Medicine CurrentSince Jun 28, 2022 Accepting new patients
Morehouse Healthcare, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Wellstar Medical Group, LLC PastSince Mar 1, 2019 Accepting new patients
Buffalo Cardiology & Pulmonary Assoc PC Pulmonary Disease Past Accepting new patients
Piedmont Providers LLC Past Accepting new patients
Wellstar Medical Group, LLC Past Accepting new patients
Wellstar Medical Group, LLC Pulmonary Disease Past Accepting new patients
Elder Medical Services PC PastSince Aug 1, 2004 Accepting new patients
Wound Care Solutions Inc. Past Accepting new patients

Locations

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

1800 Howell Mill Rd NW
Ste 275
Atlanta, GA 30318
Phone (404) 287-0054

303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

1170 Cleveland Ave
Fl 4
East Point, GA 30344
Phone (404) 466-6273

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

11 Upper Riverdale Rd SW
Fl 4
Riverdale, GA 30274
Phone (770) 897-7600

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1356334668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 ROUTE 66 FL 3",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532645",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 PALLADIAN VILLAGE DR STE 110",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300668202",
            "telephone_number": "678-878-2555",
            "fax_number": "404-900-9055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011915",
            "country_code": "US",
            "telephone_number": "732-783-4746",
            "fax_number": "848-245-8571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKINNUSI",
        "first_name": "MOROHUNFOLU",
        "middle_name": "EMMANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2024-03-20",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA11660700",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "064741",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "064741",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "064741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.