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MS. KEMI A OMOTOSO MD, MHSA
NPI 1225598907
Radiology - Diagnostic Radiology in New Hyde Park, NY

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042(516) 734-8268 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Mar 20, 2019 (2 updates tracked since 2019).

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 and is a graduate of University Of Michigan Medical School (2019).

NPPES Registry Identity

NPI1225598907
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameMS. KEMI A OMOTOSOCredential: MD, MHSA
Location Address450 LAKEVILLE RDNew Hyde Park, NY 11042-1118
Mailing Address300 Community DrManhasset, NY 11030-3816
Phone(516) 734-8268
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1225598907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NY · 311017
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
450 LAKEVILLE RD, New Hyde Park, NY 11042
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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

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.

PECOS PAC ID5991032260
PECOS Enrollment IDI20251002002845
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 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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 20

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

JENNIFER HERNANDEZ PA-C
Physician Assistant
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 734-8876
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
Internal Medicine (Hematology & Oncology)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 734-8900
PETER MAGRI JR. NP
Nurse Practitioner (Family)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 734-7443
SARA S KIM PHARM D, BCOP
Pharmacist
450 LAKEVILLE RD
LAKE SUCCESS, NY 11042
Nassau County (516) 734-3560
EMILY R VESELY
Nurse Practitioner
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 734-8963
MRS. TAMMI HASSELL BLOT FNP
Nurse Practitioner (Family)
450 LAKEVILLE RD, PRE SURGICAL TESTING
NEW HYDE PARK, NY 11042
Nassau County (516) 734-8006
SHANESE SHARMA NP
Nurse Practitioner (Adult Health)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 941-9454
EVA MONICA MCLOUGHLIN
Nurse Practitioner
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (917) 225-8175

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.

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 11 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.