NPIMap

Individual provider Active NPI

Abimbola A Shofu, M.D

  • Cardiovascular Disease Physician
  • Pickerington, OH
National Provider Identifier
1861788432
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35.134152 Issued in OH
Practice address
1010 Refugee Rd Ste 310
Pickerington, OH 43147-9653
Phone
(614) 788-4390
Fax
(614) 788-4399
NPI assigned
Jun 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35.134152 OH Primary

Addresses

Primary practice location

1010 Refugee Rd Ste 310
Pickerington, OH 43147-9653

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other names 1

  • Dr. Abimbola A Ogungbemile Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashofu779208@direct.ohiohealth.com OhioHealth Physician Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161122001888 AL Practitioner - Internal Medicine 7618293473 Reassigns benefits to 2 organizations
I20180726001686 OH Practitioner - Cardiovascular Disease (Cardiology) 7618293473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

1010 Refugee Rd
Suite 310
Pickerington, OH 43147-9653
Phone (614) 533-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3442ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Hospital Current Accepting new patients
Northern Alabama Physicians, LLP CurrentSince May 1, 2017 Accepting new patients
Northern Alabama Physicians, LLP CurrentSince May 1, 2017 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 1, 2022 Accepting new patients
Providence Hospital CurrentSince Oct 1, 2016 Accepting new patients
Providence Hospital CurrentSince Oct 1, 2016 Accepting new patients
Ohiohealth Corporation Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Genesis Medical Group LLC Internal Medicine Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

1010 Refugee Rd
#310
Pickerington, OH 43147

1010 Refugee Rd
Ste 310
Pickerington, OH 43147
Phone (614) 544-9670

1030 Refugee Rd
Ste 280
Pickerington, OH 43147
Phone (614) 788-4390

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 6

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1861788432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 REFUGEE RD STE 310",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479653",
            "telephone_number": "614-788-4390",
            "fax_number": "614-788-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOFU",
        "first_name": "ABIMBOLA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.134152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashofu779208@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "1010 Refugee Rd Ste 310",
            "city": "Pickerington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431479653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ABIMBOLA",
            "last_name": "OGUNGBEMILE",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.