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MARY TEMITOPE ILESO DO
NPI 1073171641
Family Medicine in Jbsa Randolph, TX

Active since May 30, 2019PECOS Enrolled
221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 78150(210) 652-4127 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 24, 2023, May 30, 2019 (2 updates tracked since 2019).

About Mary Temitope Ileso Do NPPES

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

MARY TEMITOPE ILESO DO (NPI 1073171641) is an individual family medicine provider in Jbsa Randolph, Texas, licensed in Nebraska (NE2427) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073171641
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY TEMITOPE ILESOCredential: DO
Location Address221 3RD ST W BLDG 1040Jbsa Randolph, TX 78150-4800
Mailing Address221 3rd St W Bldg 1040Jbsa Randolph, TX 78150-4800 · (210) 652-4127
Phone(210) 652-4127
Sole ProprietorNo
Enumeration DateMay 30, 2019
Last NPPES UpdateAugust 24, 20232 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1073171641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NE · NE2427✔ Licensed in FL · 0000000000
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
221 3RD ST W BLDG 1040, Jbsa Randolph, TX 78150
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Other Names 1

Former Name (1)Mary Temitope Oyekoya Do

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Temitope Ileso Do 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 78150 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

ANDREW PELLEGRIN MD
Family Medicine
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Bexar County (210) 652-8544
TIMOTHY T ERHARDT LICSW, LCSW
Social Worker (Clinical)
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Bexar County (210) 652-8544
MRS. CHRISTY-LYNNE MARIE MCGINNIS PA
Physician Assistant
221 3RD ST W BLDG 1040
RANDOLPH AFB, TX 78150
Bexar County (210) 652-8544
NICOLE BASHAN LEWIS
Counselor (Mental Health)
221 3RD ST W BLDG 1040
UNIVERSAL CITY, TX 78150
Bexar County (210) 652-3505
MS. BEATRICE CARRASCO ARRAMBIDE WHCAPN
Nurse Practitioner (Women's Health)
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Bexar County (210) 652-8544
DR. TODD R. HOWELL M.D.
Family Medicine
221 3RD ST W BLDG 1040
RANDOLPH AFB, TX 78150
Bexar County (830) 456-1415
ZIZI A ZEMEHERET LCSW
Social Worker (Clinical)
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Bexar County (210) 652-2448
HALEY GILL DPT, OCS
Physical Therapist (Orthopedic)
221 3RD ST W BLDG 1040
UNIVERSAL CITY, TX 78150
Bexar County (210) 652-6065

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 Mary Ileso's NPI number?

The NPI number for Mary Ileso is 1073171641. It was assigned to this individual provider in the NPPES registry on May 30, 2019. The provider is also known as Mary Temitope Oyekoya Do.

Where is Mary Ileso located?

Mary Ileso practices at 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150. The listed phone number is (210) 652-4127.

What is Mary Ileso's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Ileso enrolled in Medicare?

Yes. Mary Ileso is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Ileso was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.