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SAMUEL OLATUNDUN IRANLOYE
NPI 1205467537
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Active since January 27, 2020PECOS EnrolledAccepts Medicare Assignment
2225 VATICAN LN, DALLAS, TX 75224(214) 333-3393(214) 333-0809 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2022, Sep 15, 2021, Jun 29, 2020 and 1 more (4 updates tracked since 2020).

About Samuel Olatundun Iranloye NPPES

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

SAMUEL OLATUNDUN IRANLOYE (NPI 1205467537) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (AP144638) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205467537
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSAMUEL OLATUNDUN IRANLOYE
Location Address2225 VATICAN LNDallas, TX 75224-4719
Mailing Address2225 Vatican LnDallas, TX 75224-4719 · (214) 333-3393 · Fax (214) 333-0809
Phone(214) 333-3393
Fax(214) 333-0809
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 27, 2020
Last NPPES UpdateOctober 13, 20224 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
✔ NPI 1205467537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · AP144638
2225 VATICAN LN, Dallas, TX 75224
Open in Google Maps ↗

Other Identifiers 1

MedicaidAP144638TX

Accepted Insurance

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

Samuel Olatundun Iranloye 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 ID3779900923
PECOS Enrollment IDI20250218003359, I20250812002967
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 75224 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 5

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

HIGHLANDER PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
2225 VATICAN LN
DALLAS, TX 75224
Dallas County (817) 375-2036
LAURA ANNE COLON APRN-CNP
Nurse Practitioner (Family)
2225 VATICAN LN
DALLAS, TX 75224
Dallas County (214) 333-3393
LOUIS D ZEGARELLI D O P A
Family Medicine
2225 VATICAN LN
DALLAS, TX 75224
Dallas County (214) 333-3393
DR. SAILAJA DANDAMUDI M.D
Internal Medicine
2225 VATICAN LN
DALLAS, TX 75224
Dallas County (214) 333-3393
MRS. DIANA CHOY CHAVEZ FNP-C
Nurse Practitioner
2225 VATICAN LN
DALLAS, TX 75224
Dallas County (214) 333-3393

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 Samuel Iranloye's NPI number?

The NPI number for Samuel Iranloye is 1205467537. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Samuel Iranloye located?

Samuel Iranloye practices at 2225 Vatican Ln, Dallas, TX 75224. The listed phone number is (214) 333-3393.

What is Samuel Iranloye's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samuel Iranloye enrolled in Medicare?

Yes. Samuel Iranloye 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 Samuel Iranloye accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and UnitedHealthcare list Samuel Iranloye 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 Samuel Iranloye was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.