Abdul O Odemuyiwa
ADVANCED INTERNAL MEDICINE


Address: 189 Medical Way, Riverdale, GA 30274-4905
Phone: 7709608855

Abdul O Odemuyiwa (NPI# 1528161437, PAC ID# 3274560735) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1528161437
PAC ID by PECOS 3274560735
Professional Enrollment ID I20110311000692
Full Name Abdul O Odemuyiwa
Organization Legal Name ADVANCED INTERNAL MEDICINE
Address 189 Medical Way
Riverdale
GA 30274-4905
Phone Number 7709608855
Gender M
Graduation Year 1985
Primary Specialty INTERNAL MEDICINE
Secondary Specialties HOSPICE/PALLIATIVE CARE
Group Practice PAC ID 6204863764
Number of Group Practice Members 4
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110191 PIEDMONT HENRY HOSPITAL
110165 SOUTHERN REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
189 Medical Way, Riverdale, GA 30274-4905 7709608855 ADVANCED INTERNAL MEDICINE
235 Medical Blvd, B, Stockbridge, GA 30281-7218 7709608855 ADVANCED INTERNAL MEDICINE

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 32%
ACI_EC_TRANS_HIE_1 Health Information Exchange 2%
ACI_EC_TRANS_PEA_1 Provide Patient Access 84%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 27%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 0%
ACI_EC_TRANS_SM_1 Secure Messaging 50%
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 35%

Organization Information

Organization Legal Name ADVANCED INTERNAL MEDICINE
Physicians 5

Physicians with the same organization

Name Specialty Organization Address
Maxine Mitchell Nurse Practitioner Advanced Internal Medicine 189 Medical Way, Riverdale, GA 30274-4905
Adetokunboh M Adebayo Internal Medicine Advanced Internal Medicine 4166 Snapfinger Woods Dr, Decatur, GA 30035-3411
Alicia D Shelly Internal Medicine Advanced Internal Medicine 4166 Snapfinger Woods Dr, Decatur, GA 30035-3411
Modupeola O Brisibe Nurse Practitioner Advanced Internal Medicine 4166 Snapfinger Woods Dr, Decatur, GA 30035-3411

Office Location

Street Address 189 MEDICAL WAY
City RIVERDALE
State GA
Zip 30274-4905

Physicians in the same location

Name Specialty Organization Address
Maxine Mitchell Nurse Practitioner Advanced Internal Medicine 189 Medical Way, Riverdale, GA 30274-4905

Physicians in the same zip code

Name Specialty Organization Address
Robert E Waikel Chiropractic 7075 Church St, Riverdale, GA 30274-2306
Gokarnesan Natarajan Orthopedic Surgery 528 Valley Hill Rd Sw, Riverdale, GA 30274-2441
Deepu Daniel Nephrology Caritas Medical Center 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518
Felix Pelaez General Surgery 195 Upper Riverdale Rd Sw, Riverdale, GA 30274-2518
Jun-ki Park Nephrology Caritas Medical Center 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518
Feroze A Yusufji Orthopedic Surgery 6525 Professional Pl A, Riverdale, GA 30274-2519
Mark Guerdan Anesthesiology 6525 Professional Pl B, Riverdale, GA 30274-2519
Terry L Dickerson Podiatry 6567 Professional Pl, Riverdale, GA 30274-2519
Xuandao L Nguyen Optometry Nassar Enterprises,llc 6524 Professional Pl, Riverdale, GA 30274-2520
Ahmed M Nassar Ophthalmology Nassar Enterprises,llc 6524 Professional Pl, Riverdale, GA 30274-2520
Find all physicians in zip 30274

Competitor

Search similar physicians

City RIVERDALE
Zip Code 30274
Specialty INTERNAL MEDICINE
City + Specialty RIVERDALE + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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