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SEGUN BABATUNDE OGUNTOBA FNP
NPI 1003381757
Nurse Practitioner - Family in Chicago, IL

Active since October 09, 2018PECOS Enrolled
901 S AUSTIN BLVD, CHICAGO, IL 60644(773) 287-5959 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2021, Feb 25, 2020, Oct 9, 2018 (3 updates tracked since 2018).

About Segun Babatunde Oguntoba Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEGUN BABATUNDE OGUNTOBA FNP (NPI 1003381757) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.018124) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1003381757
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSEGUN BABATUNDE OGUNTOBACredential: FNP
Location Address901 S AUSTIN BLVDChicago, IL 60644-5311
Mailing Address5132 N Elston AveChicago, IL 60630-2429 · (847) 235-6130
Phone(773) 287-5959
Sole ProprietorYes
Enumeration DateOctober 9, 2018
Last NPPES UpdateApril 28, 20213 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
✔ NPI 1003381757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.018124
901 S AUSTIN BLVD, Chicago, IL 60644
Open in Google Maps ↗

Secondary Practice Location 1

Location 14035 S Ellis AveChicago, IL 60653-2407 · Phone (773) 615-4009

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Segun Babatunde Oguntoba Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Segun Oguntoba reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook County
1.6 mi
Primary Care
2423 S AUSTIN BLVD
Cicero, IL 60804
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1104946904 (708) 656-1130
Signify Health Medical Associates, PLLC
792 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60644 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YUZHEN ZENG PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
901 S AUSTIN BLVD
CHICAGO, IL 60644
Cook County (847) 675-7979
DOMINGO BALTAZAR PTA
Physical Therapy Assistant
901 S AUSTIN BLVD
CHICAGO, IL 60644
Cook County (773) 287-9181
MRS. ARLENE BUFORD-HINES MOTR/L
Occupational Therapist
901 S AUSTIN BLVD
CHICAGO, IL 60644
Cook County (773) 287-9181
MISS DIANA N BURKE APN/FNP
Nurse Practitioner (Family)
901 S AUSTIN BLVD
CHICAGO, IL 60644
Cook County (773) 287-5959
EDIE MONCADA PTA
Physical Therapy Assistant
901 S AUSTIN BLVD
CHICAGO, IL 60644
Cook County (773) 287-9181
KATELYN KIRN
Occupational Therapy Assistant
901 S AUSTIN BLVD
CHICAGO, IL 60644
Cook County (773) 287-5959
GENERATIONS AT COLUMBUS PARK,INC
Skilled Nursing Facility
901 S AUSTIN BLVD
CHICAGO, IL 60644
Cook County (773) 287-5959
ADAPT OF ILLINOIS, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
901 S AUSTIN BLVD
CHICAGO, IL 60644
Cook County (877) 553-9440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Segun Oguntoba's NPI number?

The NPI number for Segun Oguntoba is 1003381757. It was assigned to this individual provider in the NPPES registry on October 9, 2018.

Where is Segun Oguntoba located?

Segun Oguntoba practices at 901 S Austin Blvd, Chicago, IL 60644. The listed phone number is (773) 287-5959.

What is Segun Oguntoba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Segun Oguntoba enrolled in Medicare?

Yes. Segun Oguntoba is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Segun Oguntoba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Segun Oguntoba reassigns Medicare benefits to 2 organizations: Cook County (Cicero, IL) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Segun Oguntoba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Segun Oguntoba was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.