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IBIRONKE MUTIAT GBAJA-BIAMILA NP
NPI 1144803461
Nurse Practitioner in Redwood City, CA

Active since May 04, 2021PECOS Enrolled
303 TWIN DOLPHIN DR, REDWOOD CITY, CA 94065(832) 875-5602 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2025, Aug 25, 2021, May 4, 2021 (3 updates tracked since 2021).

About Ibironke Mutiat Gbaja-biamila Np NPPES

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

IBIRONKE MUTIAT GBAJA-BIAMILA NP (NPI 1144803461) is an individual nurse practitioner in Redwood City, California, licensed in Texas (1021248) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1144803461
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameIBIRONKE MUTIAT GBAJA-BIAMILACredential: NP
Location Address303 TWIN DOLPHIN DRRedwood City, CA 94065-1497
Mailing Address712 S Greenville AveRichardson, TX 75081-4112 · (832) 876-7712
Phone(832) 875-5602
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 4, 2021
Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1144803461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1021248
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
303 TWIN DOLPHIN DR, Redwood City, CA 94065
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Secondary Practice Location 1

Location 15294 Belt Line Rd Ste 200Dallas, TX 75254-7571 · Phone (214) 785-2200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ibironke Mutiat Gbaja-biamila Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012402829
PECOS Enrollment IDI20251219000011
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 94065 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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 4

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

DR. RICHARD MARK RUSOVICK LMFT, PHD
Marriage & Family Therapist
303 TWIN DOLPHIN DR, 6TH FLOOR #74
REDWOOD CITY, CA 94065
San Mateo County (951) 202-6799
ANGELICA PEREZ NEBERBA
Counselor (Mental Health)
303 TWIN DOLPHIN DR
REDWOOD CITY, CA 94065
San Mateo County (650) 817-9070
AVALON HOME HEALTH INC.
Home Health
303 TWIN DOLPHIN DR, SUITE 600
REDWOOD CITY, CA 94065
San Mateo County (415) 812-2955
RATINOFF AND MANN OPTOMETRISTS INC
Optometrist
303 TWIN DOLPHIN DR, SUITE 122
REDWOOD CITY, CA 94065
San Mateo County (650) 551-9111

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 Ibironke Gbaja-biamila's NPI number?

The NPI number for Ibironke Gbaja-biamila is 1144803461. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Where is Ibironke Gbaja-biamila located?

Ibironke Gbaja-biamila practices at 303 Twin Dolphin Dr, Redwood City, CA 94065. The listed phone number is (832) 875-5602.

What is Ibironke Gbaja-biamila's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ibironke Gbaja-biamila enrolled in Medicare?

Yes. Ibironke Gbaja-biamila is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ibironke Gbaja-biamila was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.