1. Home
  2. Directory
  3. Texas
  4. Red Oak
  5. Nurse Practitioner
  6. NPI Profile

OREDUNNI OGUNTODU
NPI 1003592510
Nurse Practitioner - Psychiatric/Mental Health in Red Oak, TX

Active since June 27, 2023PECOS Enrolled
109 GARDEN GROVE LN, RED OAK, TX 75154(817) 323-0900 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Oredunni Oguntodu NPPES

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

OREDUNNI OGUNTODU (NPI 1003592510) is an individual psychiatric/mental health provider in Red Oak, Texas, licensed in Texas (1114727) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003592510
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOREDUNNI OGUNTODU
Location Address109 GARDEN GROVE LNRed Oak, TX 75154-0163
Mailing Address4301 Waterford Glen DrMansfield, TX 76063-9104 · (214) 903-4783
Phone(817) 323-0900
Sole ProprietorNo
Enumeration DateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1003592510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1114727
109 GARDEN GROVE LN, Red Oak, TX 75154
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oredunni Oguntodu 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75154 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Oredunni Oguntodu's NPI number?

The NPI number for Oredunni Oguntodu is 1003592510. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Oredunni Oguntodu located?

Oredunni Oguntodu practices at 109 Garden Grove Ln, Red Oak, TX 75154. The listed phone number is (817) 323-0900.

What is Oredunni Oguntodu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Oredunni Oguntodu enrolled in Medicare?

Yes. Oredunni Oguntodu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oredunni Oguntodu was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.