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MORIAM OMOBOLADE ADEYINKA PA-C
NPI 1114712361
Physician Assistant in Houston, TX

Active since April 10, 2025PECOS EnrolledAccepts Medicare Assignment
6411 FANNIN ST, HOUSTON, TX 77030(713) 500-7116 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2025, Apr 10, 2025 (2 updates tracked since 2025).

About Moriam Omobolade Adeyinka Pa-c NPPES

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

MORIAM OMOBOLADE ADEYINKA PA-C (NPI 1114712361) is an individual physician assistant in Houston, Texas, licensed in Texas (PA19196) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114712361
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMORIAM OMOBOLADE ADEYINKACredential: PA-C
Location Address6411 FANNIN STHouston, TX 77030-1501
Mailing Address2718 Cavallo PassRichmond, TX 77406-1946 · (832) 542-3976
Phone(713) 500-7116
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 10, 2025
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1114712361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA19196
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA19196 (TX)
6411 FANNIN ST, Houston, TX 77030
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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 and accepts Medicare assignment

Moriam Omobolade Adeyinka Pa-c 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.

PECOS PAC ID8628584885
PECOS Enrollment IDI20250723002857
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

HASHIM ZAIDI M.D.
Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-7878
DAVID BALTRUSAITIS MD
Radiology (Diagnostic Radiology)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 797-5929
CYNTHIA MARSHA DANIS RN
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4000
MR. MICHAEL KENNETH HOWZE JR.
Anesthesiologist Assistant
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-7160
STEPHEN M LARSON D.M.D.
Dentist (General Practice)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-6200
STEPHEN G HECHT M.D.
Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4060
VLADIMIR MELNIKOV M.D.
Anesthesiology
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-6200
MRS. CAROL JEAN UNDERWOOD BSN RN CCRC
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4230

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 Moriam Adeyinka's NPI number?

The NPI number for Moriam Adeyinka is 1114712361. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Moriam Adeyinka located?

Moriam Adeyinka practices at 6411 Fannin St, Houston, TX 77030. The listed phone number is (713) 500-7116.

What is Moriam Adeyinka's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Moriam Adeyinka enrolled in Medicare?

Yes. Moriam Adeyinka 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.

Is Moriam Adeyinka affiliated with any hospitals?

According to CMS data, Moriam Adeyinka is affiliated with Memorial Hermann - Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Moriam Adeyinka was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.