Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BOLAJI FAWUNDU
NPI 1184192940
Nurse Practitioner - Acute Care in Cypress, TX

Q: What is Bolaji Fawundu's NPI number?

The NPI number for Bolaji Fawundu is 1184192940. It was assigned to this individual provider in the NPPES registry on November 8, 2018.

Q: What is Bolaji Fawundu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Bolaji Fawundu was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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 November 08, 2018PECOS EnrolledAccepts Medicare Assignment

27800 NORTHWEST FWY, CYPRESS, TX 77433(346) 231-4628(281) 644-8144 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 10, 2026, Sep 19, 2024, Jan 7, 2022 and 1 more (4 updates tracked since 2018).

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About Bolaji Fawundu NPPES

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

BOLAJI FAWUNDU (NPI 1184192940) is an individual acute care provider in Cypress, Texas, licensed in Texas (1042708) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184192940

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameBOLAJI FAWUNDU

Location Address27800 NORTHWEST FWYCypress, TX 77433-5302

Mailing Address930 Frostwood Dr Ste 2.200Houston, TX 77024-2450 · (713) 338-4523 · Fax (713) 338-6500

Phone(346) 231-4628

Fax(281) 644-8144

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 8, 2018

Last NPPES UpdateSeptember 10, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2026

✔ NPI 1184192940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in TX · 1042708✔ Licensed in NJ · 26NJ00876500

Also ListedRegistered NurseTaxonomy 163W00000X · License 1042708 (TX)

27800 NORTHWEST FWY, Cypress, TX 77433

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company.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

Bolaji Fawundu 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 ID1456697325

PECOS Enrollment IDI20211208001360

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 2

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

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450684

Location18951 Memorial NorthHumble, TX 77338 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77433 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

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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 20

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

DAWN DENISE MILLER

Specialist/Technologist, Other (Surgical Assistant)