MS. KEMI A OMOTOSO MD, MHSA
NPI 1225598907
Radiology - Diagnostic Radiology in New Hyde Park, NY
About Ms. Kemi A Omotoso Md, Mhsa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KEMI A OMOTOSO MD, MHSA (NPI 1225598907) is an individual diagnostic radiology provider in New Hyde Park, New York, licensed in New York (311017) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Jacobi Medical Center, and is a graduate of University Of Michigan Medical School (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Kemi A Omotoso Md, Mhsa 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kemi Omotoso reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Seaford, NY 11783
- Reassigned Medicare billing, New York enrollment
- 391 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jacobi Medical Center
Acute Care Hospitals · Bronx, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW HYDE PARK, NY 11042
NEW HYDE PARK, NY 11042
NEW HYDE PARK, NY 11042
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 Kemi Omotoso's NPI number?
The NPI number for Kemi Omotoso is 1225598907. It was assigned to this individual provider in the NPPES registry on March 20, 2019.
Where is Kemi Omotoso located?
Kemi Omotoso practices at 450 Lakeville Rd, New Hyde Park, NY 11042. The listed phone number is (516) 734-8268.
What is Kemi Omotoso's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Kemi Omotoso enrolled in Medicare?
Yes. Kemi Omotoso 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.
Which organizations bill Medicare for Kemi Omotoso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kemi Omotoso reassigns Medicare benefits to 2 organizations: North Shore - Lij Medical PC (New Hyde Park, NY) and Southside Faculty Medical Affiliates University Faculty Practice Corp (Seaford, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kemi Omotoso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kemi Omotoso affiliated with any hospitals?
According to CMS data, Kemi Omotoso is affiliated with Jacobi Medical Center.
When was this NPI record last updated?
The NPPES record for Kemi Omotoso was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Ms. Kemi A Omotoso, MD, MHSA · NPI 1225598907
Diagnostic Radiology physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since March 20, 2019.
## Identity
- **NPI:** 1225598907 (Entity type: Individual)
- **Enumerated:** March 20, 2019
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 311017 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 LAKEVILLE RD, New Hyde Park, NY 11042-1118
- **Phone:** (516) 734-8268
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY); Southside Faculty Medical Affiliates University Faculty Practice Corp (NPI 1033791058, Seaford, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 2019
## Record status
- **NPPES last updated:** September 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225598907) · Data from the CMS NPPES public registry.