DR. OLUFEYISAYO JOKOTOLA TAIWO M.D.
NPI 1194108712
Obstetrics & Gynecology in Benton, IL

Active since June 30, 2015PECOS EnrolledAccepts Medicare Assignment
203 BAILEY LN, BENTON, IL 62812(618) 899-4000 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Olufeyisayo Jokotola Taiwo M.d. NPPES

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

DR. OLUFEYISAYO JOKOTOLA TAIWO M.D. (NPI 1194108712) is an individual obstetrics & gynecology provider in Benton, Illinois, licensed in Illinois (036149396) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1194108712
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. OLUFEYISAYO JOKOTOLA TAIWOCredential: M.D.
Location Address203 BAILEY LNBenton, IL 62812-2270
Mailing AddressPo Box 955860Saint Louis, MO 63195-1782 · (636) 498-5944
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 30, 2015
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
NPI 1194108712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in IL · 036149396 Licensed in IL · 125-067740
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

203 BAILEY LN, Benton, IL 62812

Secondary Practice Location 1

Location 11500 S Fairfield Ave, F208Chicago, IL 60608-1782 · Phone (773) 257-2222 ext. 19419 · Fax (773) 522-9831

Accepted 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

Dr. Olufeyisayo Jokotola Taiwo M.d. 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 ID2466786009
PECOS Enrollment IDI20190701002450
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.

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62812 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Family Medicine
203 BAILEY LN
BENTON, IL 62812
Family Medicine
203 BAILEY LN
BENTON, IL 62812
Clinic/Center (Rural Health)
203 BAILEY LN
BENTON, IL 62812
Internal Medicine (Cardiovascular Disease)
203 BAILEY LN
BENTON, IL 62812
Clinic/Center (Rural Health)
203 BAILEY LN, SUITE 1
BENTON, IL 62812

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 Olufeyisayo Taiwo's NPI number?

The NPI number for Olufeyisayo Taiwo is 1194108712. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Olufeyisayo Taiwo located?

Olufeyisayo Taiwo practices at 203 Bailey Ln, Benton, IL 62812. The listed phone number is (618) 899-4000.

What is Olufeyisayo Taiwo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Olufeyisayo Taiwo enrolled in Medicare?

Yes. Olufeyisayo Taiwo 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.

What insurance does Olufeyisayo Taiwo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Olufeyisayo Taiwo 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.

Is Olufeyisayo Taiwo affiliated with any hospitals?

According to CMS data, Olufeyisayo Taiwo is affiliated with Good Samaritan Regional Hlth Center.

When was this NPI record last updated?

The NPPES record for Olufeyisayo Taiwo was last updated on November 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.