Active NPI
Ayodele Osasona, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 55713
- Practice address
- 2004 Oak Terrace Dr SE
Atlanta, GA 30316 - Phone
- (404) 790-8440
- NPI assigned
- Jun 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | BP10047956 | TX | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 55713 | KY | Primary |
Addresses
Primary practice location
2004 Oak Terrace Dr SE
Atlanta, GA 30316
Mailing address
PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-9571
Other practice location 1
301 University Blvd
Galveston, TX 77555-0534
Phone (409) 772-1369
Other practice location 2
613 23rd St Ste 210
Ashland, KY 41101-2868
Phone (606) 326-9847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- University of Kentucky College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kings Daughters Medical Specialties Inc
Practice addresses (Care Compare)
1729 Kinneys LN
Suite 202
Portsmouth, OH 45662-3167
Phone (740) 353-8100
613 23Rd St
Suite 210
Ashland, KY 41101-2868
Phone (606) 326-9847
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.04 of 100
- Quality
- 60.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10047956 | TX | MD | Surgery Physician |
| 55713 | KY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Ashland Hospital Corporation | Past | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Surgery | Past | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
613 23rd St
Ste 210
Ashland, KY 41101
Phone (606) 326-9847
1901 Argonne Rd
Portsmouth, OH 45662
Phone (740) 991-0911
1729 Kinneys Ln
Ste 202
Portsmouth, OH 45662
Phone (740) 353-8100
1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441
Interoperability endpoints
- aosasona78675@direct.kdhealth.us
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.
-
- Physical Medicine & Rehabilitation Physician
- Prestonsburg, KY
- NPI 1710215736
-
- Radiation Oncology Physician
- Ashland, KY
- NPI 1699565176
-
- Plastic Surgery Physician
- Ashland, KY
- NPI 1720397409
-
- Cardiovascular Disease Physician
- Ashland, KY
- NPI 1134484892
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Cardiovascular Disease Physician
- Ashland, KY
- NPI 1972830404
Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1417227398
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1053342816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1992143382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2379",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411052379",
"telephone_number": "606-408-9571",
"fax_number": "606-408-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 OAK TERRACE DR SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30316",
"telephone_number": "404-790-8440"
}
],
"practiceLocations": [
{
"address_1": "301 University Blvd",
"address_purpose": "LOCATION",
"city": "Galveston",
"state": "TX",
"postal_code": "775550534",
"country_code": "US",
"telephone_number": "409-772-1369",
"fax_number": "409-772-0557",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "613 23rd St Ste 210",
"address_purpose": "LOCATION",
"city": "Ashland",
"state": "KY",
"postal_code": "411012868",
"country_code": "US",
"telephone_number": "606-326-9847",
"fax_number": "606-324-3418",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSASONA",
"first_name": "AYODELE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-07",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "BP10047956",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "KY",
"license": "55713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.