KIKELOMO OMOLOLA DAWOTOLA FNP
NPI 1093285504
Nurse Practitioner - Family in Dallas, TX
About Kikelomo Omolola Dawotola Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIKELOMO OMOLOLA DAWOTOLA FNP (NPI 1093285504) is an individual family provider in Dallas, Texas, licensed in Texas (AP139838) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Desoto, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kikelomo Omolola Dawotola Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kikelomo Dawotola reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75211
- Reassigned Medicare billing, Texas enrollment
- 173 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Arizona, Connecticut, Iowa, Nebraska and Washington enrollments
- 532 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DALLAS, TX 75216
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 Kikelomo Dawotola's NPI number?
The NPI number for Kikelomo Dawotola is 1093285504. It was assigned to this individual provider in the NPPES registry on November 27, 2018. The provider is also known as Ms. Kikelomo Omolola Apantaku Fnp.
Where is Kikelomo Dawotola located?
Kikelomo Dawotola practices at 3330 S Lancaster Rd, Dallas, TX 75216. The listed phone number is (214) 743-1200.
What is Kikelomo Dawotola's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kikelomo Dawotola enrolled in Medicare?
Yes. Kikelomo Dawotola is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kikelomo Dawotola's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kikelomo Dawotola reassigns Medicare benefits to 2 organizations: Dallas County Mental Health & Mental Retardation Center (Dallas, TX) and Grow Healthcare Group PA (Miami, FL). 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 Kikelomo Dawotola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kikelomo Dawotola accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare and Oscar Health and 5 other insurers list Kikelomo Dawotola 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 Kikelomo Dawotola was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kikelomo Omolola Dawotola, FNP · NPI 1093285504
Family physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since November 27, 2018.
## Identity
- **NPI:** 1093285504 (Entity type: Individual)
- **Enumerated:** November 27, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP139838 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3330 S LANCASTER RD, Dallas, TX 75216-4531
- **Phone:** (214) 743-1200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dallas County Mental Health & Mental Retardation Center (NPI 1023239886, Dallas, TX); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 10, 2025
- **Other identifiers:** Other AP139838 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1093285504) · Data from the CMS NPPES public registry.