OSARETIN B IDUSUYI MD NPI 1417944091

NPI Information

  • NPI: 1417944091
  • Provider Name: OSARETIN B IDUSUYI, MD
  • Classification: Orthopaedic Surgery - 207XX0004X
  • Specialization: Foot and Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1118 HAMPSHIRE ST
    QUINCY, IL
    ZIP 62301
  • Phone: (217) 222-6550

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NPI Details

Osaretin B Idusuyi, MD is a foot and ankle surgery orthopaedic surgery in Quincy, IL with 35 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. Osaretin B Idusuyi, MD NPI is 1417944091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

1118 HAMPSHIRE ST
QUINCY, IL
ZIP 62301-027
Phone: (217) 222-6550
Fax: (217) 277-2253

The NPI 1417944091 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 office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Cast supplies, short leg cast, adult (11 years +), fiberglass (HCPCS:Q4038)
  • Incision of foot bone (HCPCS:28005)
  • Application of short leg cast (HCPCS:29405)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Application of short leg splint from calf to foot (HCPCS:29515)
  • Removal of deep implant from bone (HCPCS:20680)
  • Lengthening of calf muscle (HCPCS:27687)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 9/29/2005 and was last updated on 8/19/2024.

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
1207X00000XOrthopaedic Surgery036095609ILLINOISNo
2207XX0004XOrthopaedic SurgeryFoot and Ankle Surgery036095609ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036095609MEDICAIDILLINOIS

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: 3/30/2025

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