1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Psychiatry Neurology
  6. NPI Profile

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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Omobolanle Alli-balogun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Joseph's Hospital & Medical Center
6.7 mi
Psychiatry
127 S BROADWAY
Yonkers, NY 10701
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Joseph's Hospital Yonkers
  • 233 clinicians in this Medicare group
NPI 1245204908 (914) 378-7342

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 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. DIANA SOFIA GALARZA MD
Student in an Organized Health Care Education/Training Program
1276 FULTON AVE FL 5
BRONX, NY 10456
Bronx County (718) 901-8653
DR. JASON TYRONE ROSS JR. DO
Student in an Organized Health Care Education/Training Program
1276 FULTON AVE FL 5
BRONX, NY 10456
Bronx County (718) 901-8222
DR. ALEXANDRA DEL VALLE ALVARADO MD
Student in an Organized Health Care Education/Training Program
1276 FULTON AVE FL 5
BRONX, NY 10456
Bronx County (718) 590-1800
DR. BIXBY BENJAMIN PONTERI MD
Student in an Organized Health Care Education/Training Program
1276 FULTON AVE FL 5
BRONX, NY 10456
Bronx County (650) 701-4924
NORA GASTON
Student in an Organized Health Care Education/Training Program
1276 FULTON AVE FL 5
BRONX, NY 10456
Bronx County (718) 590-1800
MARIA ALEJANDRA GALLO RUIZ
Student in an Organized Health Care Education/Training Program
1276 FULTON AVE FL 5
BRONX, NY 10456
Bronx County (718) 901-8653
MONIKA GASHI
Psychiatry & Neurology (Psychiatry)
1276 FULTON AVE FL 5
BRONX, NY 10456
Bronx County (718) 901-8653
DR. NISHANT PRABHAKARAN MD
Student in an Organized Health Care Education/Training Program
1276 FULTON AVE FL 5
BRONX, NY 10456
Bronx County (332) 238-9151

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 Omobolanle Alli-balogun's NPI number?

The NPI number for Omobolanle Alli-balogun is 1053900266. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Where is Omobolanle Alli-balogun located?

Omobolanle Alli-balogun practices at 1276 Fulton Ave Fl 5, Bronx, NY 10456. The listed phone number is (718) 590-1800.

What is Omobolanle Alli-balogun's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Omobolanle Alli-balogun enrolled in Medicare?

Yes. Omobolanle Alli-balogun is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Omobolanle Alli-balogun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omobolanle Alli-balogun reassigns Medicare benefits to St. Joseph's Hospital & Medical Center (Yonkers, NY). The 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 Omobolanle Alli-balogun'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 Omobolanle Alli-balogun was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.