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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ifedapo Sotubo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medcomplete LLC
226 mi
Community Health
26717 WESTHEIMER PKWY STE 103
Katy, TX 77494
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1790221505 (832) 838-4031
Bee Busy Wellness Center
238 mi
Federally Qualified Health Center (FQHC)
8785 W BELLFORT ST
Houston, TX 77031
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1669603056 (713) 771-2292

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 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.

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.

LISA COUCH
Nurse Practitioner (Family)
325 N SAINT PAUL ST STE 3100
DALLAS, TX 75201
Dallas County (888) 731-8994
DEVELOPMENTAL PATHWAYS INC
Behavior Analyst
325 N SAINT PAUL ST STE 3100
DALLAS, TX 75201
Dallas County (214) 432-3777
MS. JONNITA BROWN PA, AT, EMT
Student in an Organized Health Care Education/Training Program
325 N SAINT PAUL ST STE 3100
DALLAS, TX 75201
Dallas County (214) 524-4804
KIRANDEEP SAINI NP
Nurse Practitioner (Acute Care)
325 N SAINT PAUL ST STE 3100
DALLAS, TX 75201
Dallas County (617) 505-1520
ESSENTIAL MENTAL WELLNESS
Psychiatry & Neurology (Psychiatry)
325 N SAINT PAUL ST STE 3100
DALLAS, TX 75201
Dallas County (917) 667-2201
TANIA RUIZ-SOTO
Behavior Technician
325 N SAINT PAUL ST STE 3100
DALLAS, TX 75201
Dallas County (800) 930-5773
ANA MARIA MENDEZ M.D.
Family Medicine
325 N SAINT PAUL ST STE 3100
DALLAS, TX 75201
Dallas County (617) 505-1520
DESTINY RICKEL MCFADDEN RN
Registered Nurse
325 N SAINT PAUL ST STE 3100
DALLAS, TX 75201
Dallas County (678) 599-3395

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 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.

Where is Ifedapo Sotubo located?

Ifedapo Sotubo practices at 325 N Saint Paul St Ste 3100, Dallas, TX 75201. The listed phone number is (888) 731-8994.

What is Ifedapo Sotubo's specialty?

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

Is Ifedapo Sotubo enrolled in Medicare?

Yes. Ifedapo Sotubo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ifedapo Sotubo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ifedapo Sotubo reassigns Medicare benefits to 2 organizations: Medcomplete LLC (Katy, TX) and Bee Busy Wellness Center (Houston, TX). 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 Ifedapo Sotubo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ifedapo Sotubo accept?

Health plans from Blue Cross and Blue Shield of Texas list Ifedapo Sotubo 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 Ifedapo Sotubo was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.