Individual provider Active NPI

Ayodeji Olarewaju, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Albany, GA
National Provider Identifier
1467711960
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
077861 Issued in GA
Practice address
417 W 3Rd Ave
Albany, GA 31701
Phone
(229) 312-1000
NPI assigned
May 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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 137476 FL
Pulmonary Disease Physician 207RP1001X 137476 FL
Student in an Organized Health Care Education/Training Program 390200000X
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 077861 GA Primary

Addresses

Primary practice location

417 W 3Rd Ave
Albany, GA 31701

Mailing address

500 W 3Rd Ave Ste 101
Albany, GA 31701-1900
Phone (229) 312-5800

Other practice location 1

99 Beauvoir Ave
Medical Education, 7th Floor
Summit, NJ 07901-3533
Phone (908) 522-2987

Other practice location 2

99 Beauvoir Ave
Medical Education, 7th Floor
Summit, NJ 07901
Phone (908) 522-2987

Other practice location 3

99 Beauvoir Ave
Medical Education, 7th Floor
Summit, NJ 07901
Phone (908) 522-2987

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
I20170614001362 GA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - NephrologyPractitioner - Critical Care (Intensivists) 4789952805 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Critical Care (Intensivists), Internal Medicine, Nephrology, Pulmonary Disease
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians
City of Hope Medical Group of Georgia LLCGroup PAC ID 4880841212, 137 clinicians

Practice addresses (Care Compare)

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5133

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
137476FLMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Intensivists of Georgia PC Critical Care Medicine CurrentSince Oct 1, 2021 Accepting new patients
Apogee Medical Group Georgia CurrentSince Sep 1, 2021 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Jan 2, 2023 Accepting new patients
Covenant Medical Group LLC Pulmonary Disease CurrentSince Jun 1, 2024 Accepting new patients
Phoebe Dorminy Surgical Associates CurrentSince Jun 1, 2017 Accepting new patients
Health Services of Central Georgia, Inc CurrentSince Feb 24, 2020 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jun 1, 2017 Accepting new patients
Phoebe Putney Memorial Hospital Inc Past Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

483 Upper Riverdale Rd SW
Ste L
Riverdale, GA 30274
Phone (770) 742-3883

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: aolarewaju145438@cityofhope.direct-ci.com
  • Direct secure messaging: aolarewaju402043@directwellstar.org
  • Direct secure messaging: esteinberg446928@carolinashealthcaresystem.direct-ci.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 3

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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1467711960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W 3RD AVE STE 101",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011900",
            "telephone_number": "229-312-5800",
            "fax_number": "908-522-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W 3RD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31701",
            "telephone_number": "229-312-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Beauvoir Ave",
            "address_2": "Medical Education, 7th Floor",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013533",
            "country_code": "US",
            "telephone_number": "908-522-2987",
            "fax_number": "908-522-0804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Beauvoir Ave",
            "address_2": "Medical Education, 7th Floor",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "07901",
            "country_code": "US",
            "telephone_number": "908-522-2987",
            "fax_number": "908-522-0804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Beauvoir Ave",
            "address_2": "Medical Education, 7th Floor",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "07901",
            "country_code": "US",
            "telephone_number": "908-522-2987",
            "fax_number": "908-522-0804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLAREWAJU",
        "first_name": "AYODEJI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "137476",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "137476",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "077861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.