IFEDAPO SOTUBO FNP
NPI 1063000909
Nurse Practitioner - Family in Dallas, TX

Q: What is Ifedapo Sotubo's NPI number?

The NPI number for Ifedapo Sotubo is 1063000909. It was assigned to this individual provider in the NPPES registry on January 6, 2021.

Q: What is Ifedapo Sotubo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ifedapo Sotubo was last updated on January 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 06, 2021PECOS Enrolled

325 N SAINT PAUL ST STE 3100, DALLAS, TX 75201(888) 731-8994 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 12, 2026, Apr 29, 2022, Sep 7, 2021 and 1 more (4 updates tracked since 2021).

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About Ifedapo Sotubo Fnp NPPES

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

IFEDAPO SOTUBO FNP (NPI 1063000909) is an individual family provider in Dallas, Texas, licensed in Texas (1020827) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063000909

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameIFEDAPO SOTUBOCredential: FNP

Location Address325 N SAINT PAUL ST STE 3100Dallas, TX 75201-3923

Mailing Address325 N Saint Paul St Ste 3100Dallas, TX 75201-3923 · (888) 731-8994

Phone(888) 731-8994

Sole ProprietorYes

Enumeration DateJanuary 6, 2021

Last NPPES UpdateJanuary 12, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1063000909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1020827

325 N SAINT PAUL ST STE 3100, Dallas, TX 75201

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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)

Ifedapo Sotubo Fnp 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 75201 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.