OLUFISAYO OMOTUNDE
NPI 1033643879
Psychiatry & Neurology - Psychiatry in New York, NY
About Olufisayo Omotunde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLUFISAYO OMOTUNDE (NPI 1033643879) is an individual psychiatry provider in New York, New York, licensed in New York (298852) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Olufisayo Omotunde is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Olufisayo Omotunde reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 69 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
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 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10065
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 Olufisayo Omotunde's NPI number?
The NPI number for Olufisayo Omotunde is 1033643879. It was assigned to this individual provider in the NPPES registry on April 19, 2017.
Where is Olufisayo Omotunde located?
Olufisayo Omotunde practices at 1275 York Ave, New York, NY 10065. The listed phone number is (646) 608-8452.
What is Olufisayo Omotunde's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Olufisayo Omotunde enrolled in Medicare?
Yes. Olufisayo Omotunde is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Olufisayo Omotunde's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olufisayo Omotunde reassigns Medicare benefits to 2 organizations: Memorial Psychiatry Group (New York, NY) and New York University (Boynton Beach, FL). 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 Olufisayo Omotunde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Olufisayo Omotunde accept?
Health plans from Oscar Health list Olufisayo Omotunde 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 Olufisayo Omotunde was last updated on October 9, 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.
# Olufisayo Omotunde · NPI 1033643879
Psychiatry physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 19, 2017.
## Identity
- **NPI:** 1033643879 (Entity type: Individual)
- **Enumerated:** April 19, 2017
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 298852 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10065-6007
- **Phone:** (646) 608-8452
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Memorial Psychiatry Group (NPI 1689645244, New York, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1033643879) · Data from the CMS NPPES public registry.