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

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: November 01, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mojirayo Sarumi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mother Frances Hospital Regional Health Care Center
0.2 mi
General Acute Care Hospital
800 E DAWSON ST
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 547 clinicians in this Medicare group
NPI 1679578439 (903) 593-8441
Christus Trinity Clinic Texas
0.3 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 5

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

TRINCARE INC
Clinical Medical Laboratory
620 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 510-1193
RAJESHWARI KOTI MS, MSC, CGC
Genetic Counselor, MS
620 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 606-4900
DR. FREDERICO GUILHERME ROCHA M.D.
Obstetrics & Gynecology
620 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 606-4900
HEATHER MACDONALD LUCAS MS
Genetic Counselor, MS
620 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 606-4900
DR. MARGARET ANNE WARREN D.O.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
620 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 606-4900

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 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.

Where is Mojirayo Sarumi located?

Mojirayo Sarumi practices at 620 S Fleishel Ave, Tyler, TX 75701. The listed phone number is (903) 606-4900.

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.

Is Mojirayo Sarumi enrolled in Medicare?

Yes. Mojirayo Sarumi 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 Mojirayo Sarumi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mojirayo Sarumi reassigns Medicare benefits to 2 organizations: Mother Frances Hospital Regional Health Care Center (Tyler, TX) and Christus Trinity Clinic Texas (Tyler, TX). 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 Mojirayo Sarumi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mojirayo Sarumi accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Mojirayo Sarumi 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 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.