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OLUWATOSIN AISHAT BALOGUN
NPI 1205424694
Nurse Practitioner - Family in Richmond, TX

Active since January 02, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
26750 FM 1093 RD STE 170, RICHMOND, TX 77406(281) 875-8428 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 11, 2024, Aug 24, 2021, Feb 24, 2021 and 1 more (4 updates tracked since 2021).

About Oluwatosin Aishat Balogun NPPES

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

OLUWATOSIN AISHAT BALOGUN (NPI 1205424694) is an individual family provider in Richmond, Texas, licensed in Texas (1035445) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205424694
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameOLUWATOSIN AISHAT BALOGUN
Location Address26750 FM 1093 RD STE 170Richmond, TX 77406-2786
Mailing Address450 Gears Rd Ste 450Houston, TX 77067-4542 · (281) 874-0212
Phone(281) 875-8428
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 2, 2021
Last NPPES UpdateOctober 11, 20244 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1205424694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TX · 1035445✔ Licensed in GA · RN301656
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9387682 (FL)
26750 FM 1093 RD STE 170, Richmond, TX 77406
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Oluwatosin Aishat Balogun 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 ID8628474343
PECOS Enrollment IDI20230619001447
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 77406 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

ALLERGY & ENT ASSOCIATES, PLLC
Allergy & Immunology
26750 FM 1093 RD STE 170
RICHMOND, TX 77406
Fort Bend County (281) 875-8428

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 Oluwatosin Balogun's NPI number?

The NPI number for Oluwatosin Balogun is 1205424694. It was assigned to this individual provider in the NPPES registry on January 2, 2021.

Where is Oluwatosin Balogun located?

Oluwatosin Balogun practices at 26750 Fm 1093 Rd Ste 170, Richmond, TX 77406. The listed phone number is (281) 875-8428.

What is Oluwatosin Balogun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Oluwatosin Balogun enrolled in Medicare?

Yes. Oluwatosin Balogun 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 Oluwatosin Balogun accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Oluwatosin Balogun 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 Oluwatosin Balogun was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.