Kolawole Omodayo Atandeyi, M.D

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

073915 Issued in GA

Practice address

960 Johnson Ferry Rd Ste 500
Atlanta, GA 30342-1630

Phone

(404) 257-0006

Fax

(404) 851-1316

NPI assigned

Jun 5, 2009

Last updated

May 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, RI, TX, NY4 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

Specialty

Internal MedicineAlso: Critical Care (Intensivists)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Houston Intensivists PLLCGroup PAC ID 8224460142, 8 clinicians

Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Cogent Healthcare of Texas PAGroup PAC ID 8628076924, 113 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848
• Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
• HCA Houston Healthcare West Hospital, Houston, TX, CCN 450644

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 35)

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCHJAA
• Direct secure messaging: katandeyi99096@directhoustonmethodist.org

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.

• Cogent Healthcare of Texas, PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1992722953
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095
  Medicare reassignment Care Compare group NPD
• Houston Intensivists PLLC

  • Internal Medicine Physician
  • Kingwood, TX
  • NPI 1962055749

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD
• Apogee Medical Group Georgia Inc

  • Internal Medicine Physician
  • Carrollton, GA
  • NPI 1629025143
  Medicare reassignment NPD
• Northeast Georgia Physicians Group Inc

  • Family Medicine Physician
  • Gainesville, GA
  • NPI 1891745212

  Critical Care Medicine

  Medicare reassignment NPD
• Piedmont Specialty Hospital Billing LLC

  • Internal Medicine Physician
  • Jasper, GA
  • NPI 1699290510
  Medicare reassignment NPD
• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment NPD
• Community Medicine Associates

  dba University Medicine Associates

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1245313329
  Medicare reassignment NPD
• Critical Care Physician of New York PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newburgh, NY
  • NPI 1316293954
  Medicare reassignment NPD
• Gulf Coast Intensivists, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Corpus Christi, TX
  • NPI 1104509199
  Medicare reassignment NPD
• Hospital Medicine Services of TX, PLLC

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1881392363
  Medicare reassignment NPD
• Intensivist Medicine Services of TX, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1790478444
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chca West Houston L P

  dba HCA Houston Healthcare West

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1275580938
  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Imaging Centers-East Houston Center

  • Physiological Laboratory
  • Houston, TX
  • NPI 1154595155

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba MHHS Memorial City Outpatient Imaging Center

  • Physiological Laboratory
  • Houston, TX
  • NPI 1275568032

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Sugar Land Hospital

  • General Acute Care Hospital
  • Sugar Land, TX
  • NPI 1295788735
  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Imaging Centers-Pasadena Center

  • Physiological Laboratory
  • Pasadena, TX
  • NPI 1437323482

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Imaging Centers-Willowbrook Center

  • Physiological Laboratory
  • Houston, TX
  • NPI 1588838593

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Imaging Center-Upper Kirby

  • Physiological Laboratory
  • Houston, TX
  • NPI 1639343635

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Memorial City Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1740233782
  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Imaging Centers-First Colony Center

  • Physiological Laboratory
  • Sugar Land, TX
  • NPI 1841465697

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Imaging Centers-Clearlake Center

  • Physiological Laboratory
  • Houston, TX
  • NPI 1952575904

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621728000000",
    "number": "1669608436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 JOHNSON FERRY RD STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421630",
            "telephone_number": "404-257-0006",
            "fax_number": "404-851-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 JOHNSON FERRY RD STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421630",
            "telephone_number": "404-257-0006",
            "fax_number": "404-851-1316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "770-219-9000",
            "fax_number": "770-589-7872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATANDEYI",
        "first_name": "KOLAWOLE",
        "middle_name": "OMODAYO",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2021-05-23",
        "certification_date": "2021-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "073915",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "073915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexander Musa Atanga
• Travis Atchley
• Osayamen Amadin Atekha
• Niert Atenafu
• Michelle Danee' Atha

• Critical Care Medicine (Internal Medicine) Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Critical Care Medicine (Internal Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; 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.

Verify at the official NPI Registry.