EBIMA OKUNDAYE P.A.
NPI 1003453671
Internal Medicine - Nephrology in Pasadena, TX

Active since December 03, 2019
3315 BURKE RD STE 306, PASADENA, TX 77504(832) 831-6135(832) 925-8917 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2024, Dec 3, 2019 (2 updates tracked since 2019).

About Ebima Okundaye P.a. NPPES

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

EBIMA OKUNDAYE P.A. (NPI 1003453671) is a healthcare organization registered as a nephrology in Pasadena, Texas and active in the NPI registry since December 2019. The organization maintains a secondary practice location in Pearland and lists Ebima Okundaye, Owner, as its authorized official.

NPPES Registry Identity

NPI1003453671
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameEBIMA OKUNDAYE P.A.
Location Address3315 BURKE RD STE 306Pasadena, TX 77504-1825
Mailing AddressPo Box 1571Fresno, TX 77545-1571 · (832) 831-6135 · Fax (832) 925-8917
Fax(832) 925-8917
Organization SubpartNo
Authorized OfficialEbima OkundayeOwner · (973) 885-5457
Enumeration DateDecember 3, 2019
Last NPPES UpdateFebruary 7, 20242 updates tracked since enumeration
NPPES CertifiedApril 18, 2023
✔ NPI 1003453671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3315 BURKE RD STE 306, Pasadena, TX 77504

Secondary Practice Location 1

Location 110970 Shadow Creek Pkwy Ste 220Pearland, TX 77584-0102 · Phone (832) 831-6135 · Fax (832) 925-8917

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebima Okundaye P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ebima Okundaye P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1063546406
11100 SHADOW CREEK PKWY
Pearland, TX 77584
(713) 770-7100
✔ PECOS✔ Accepts Medicare14 mi

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

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 Ebima Okundaye P.A.'s NPI number?

The NPI number for Ebima Okundaye P.A. is 1003453671. It was assigned to this organization in the NPPES registry on December 3, 2019.

Where is Ebima Okundaye P.A. located?

Ebima Okundaye P.A. is located at 3315 Burke Rd Ste 306, Pasadena, TX 77504. The listed phone number is (832) 831-6135.

What is Ebima Okundaye P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ebima Okundaye P.A. enrolled in Medicare?

Yes. Ebima Okundaye P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ebima Okundaye P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Ebima Okundaye P.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ebima Okundaye P.A. accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Ebima Okundaye P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ebima Okundaye P.A. was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.