BAMIDELE GANIYU NPI 1073155933

NPI Information

  • NPI: 1073155933
  • Provider Name: BAMIDELE GANIYU
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2101 CORONA RD STE 102
    COLUMBIA, MO
    ZIP 65203
  • Phone: (573) 234-1800

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NPI Details

Bamidele Ganiyu is a psychiatric/mental health nurse practitioner in Columbia, MO with 7 years of experience. Bamidele Ganiyu NPI is 1073155933. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2101 CORONA RD STE 102
COLUMBIA, MO
ZIP 65203-582
Phone: (573) 234-1800
Fax: (573) 234-1799

The NPI 1073155933 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)

The enumeration date for this NPI number is 10/11/2019 and was last updated on 11/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner2020002143MISSOURINo
2363LP0808XNurse PractitionerPsychiatric/Mental Health83508KANSASNo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4363LP0808XNurse PractitionerPsychiatric/Mental Health2020002143MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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