Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. OMOBOLANLE MOROUNKEJI ALLI-BALOGUN MD,MPH
NPI 1053900266
Psychiatry & Neurology - Psychiatry in Bronx, NY

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

Active since January 12, 2021PECOS Enrolled

1276 FULTON AVE FL 5, BRONX, NY 10456(718) 590-1800 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2026, Jan 14, 2021 (2 updates tracked since 2021).

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About Dr. Omobolanle Morounkeji Alli-balogun Md,mph NPPES

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

DR. OMOBOLANLE MOROUNKEJI ALLI-BALOGUN MD,MPH (NPI 1053900266) is an individual psychiatry provider in Bronx, New York, licensed in New York (332012) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1053900266

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. OMOBOLANLE MOROUNKEJI ALLI-BALOGUNCredential: MD,MPH

Location Address1276 FULTON AVE FL 5Bronx, NY 10456-3402

Mailing Address1276 Fulton Ave Fl 5Bronx, NY 10456-3402 · (718) 590-1800

Phone(718) 590-1800

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJanuary 12, 2021

Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1053900266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NY · 332012

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1276 FULTON AVE FL 5, Bronx, NY 10456

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Omobolanle Morounkeji Alli-balogun Md,mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658869417

PECOS Enrollment IDI20260402001598

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 10456 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

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

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 20

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

DR. JOSE ARTURO SANCHEZ-LACAY M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1276 FULTON AVE FL 5, BRONX-LEBANON HOSPITAL CENTER
BRONX, NY 10456

Bronx County (718) 466-7281

HINA KHATTAK

Student in an Organized Health Care Education/Training Program