OLAOLUWAPO ENIITAN OMOLEKE MD
NPI 1093653610
Student in an Organized Health Care Education/Training Program in Elk Grove, CA
About Olaoluwapo Eniitan Omoleke Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLAOLUWAPO ENIITAN OMOLEKE MD (NPI 1093653610) is an individual student in an organized health care education/training program in Elk Grove, California and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Olaoluwapo Eniitan Omoleke Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Olaoluwapo Omoleke's NPI number?
The NPI number for Olaoluwapo Omoleke is 1093653610. It was assigned to this individual provider in the NPPES registry on March 24, 2026.
Where is Olaoluwapo Omoleke located?
Olaoluwapo Omoleke practices at 8564 Grant Line Rd, Elk Grove, CA 95624. The listed phone number is (703) 309-8426.
What is Olaoluwapo Omoleke's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Olaoluwapo Omoleke enrolled in Medicare?
Yes. Olaoluwapo Omoleke is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Olaoluwapo Omoleke was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Olaoluwapo Eniitan Omoleke, MD · NPI 1093653610
Student in an Organized Health Care Education/Training Program provider in Elk Grove, California. Individual provider, active in the CMS NPPES registry since March 24, 2026.
## Identity
- **NPI:** 1093653610 (Entity type: Individual)
- **Enumerated:** March 24, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 8564 GRANT LINE RD, Elk Grove, CA 95624-9638
- **Phone:** (703) 309-8426
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093653610) · Data from the CMS NPPES public registry.