MOJIRAYO A. SARUMI D.O.
NPI 1134557952
Obstetrics & Gynecology - Maternal & Fetal Medicine in Tyler, TX

Q: What is Mojirayo Sarumi's NPI number?

The NPI number for Mojirayo Sarumi is 1134557952. It was assigned to this individual provider in the NPPES registry on October 15, 2013.

Q: What is Mojirayo Sarumi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Q: When was this NPI record last updated?

The NPPES record for Mojirayo Sarumi was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 15, 2013PECOS EnrolledAccepts Medicare Assignment

620 S FLEISHEL AVE, TYLER, TX 75701(903) 606-4900(903) 606-4699 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2020, Nov 1, 2019, Aug 25, 2016 and 1 more (4 updates tracked since 2016).

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About Mojirayo A. Sarumi D.o. NPPES

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

MOJIRAYO A. SARUMI D.O. (NPI 1134557952) is an individual maternal & fetal medicine provider in Tyler, Texas, licensed in Texas (R9538) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in York, and is a graduate of Philadelphia College Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1134557952

Entity TypeIndividualFemale

Primary Taxonomy207VM0101X

Provider Legal NameMOJIRAYO A. SARUMICredential: D.O.

Location Address620 S FLEISHEL AVETyler, TX 75701

Mailing Address2900 Saint Michael Dr Ste 401Texarkana, TX 75503-5211 · (903) 614-5383 · Fax (903) 614-5343

Phone(903) 606-4900

Fax(903) 606-4699

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2011

Enumeration DateOctober 15, 2013

Last NPPES UpdateMarch 2, 20204 updates tracked since enumeration

NPPES CertifiedMarch 2, 2020

✔ NPI 1134557952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207VM0101X

License✔ Licensed in TX · R9538

Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License R9538 (TX), OS017932 (PA), 25MB09374900 (NJ)

620 S FLEISHEL AVE, Tyler, TX 75701

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Secondary Practice Location 1

Location 11001 S George StYork, PA 17403-3676 · Phone (717) 851-2345

Other Identifiers 3

Medicaid400935901TX

Other825668TX · Medicare Pin

Medicaid0464660NJ

Accepted Insurance

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

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

Mojirayo A. Sarumi D.o. 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 ID8426369125

PECOS Enrollment IDI20190718001977

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 75701 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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