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IMOLEAYO OMOGUNSOYE
NPI 1255945713
Nurse Practitioner - Women's Health in Houston, TX

Active since September 02, 2020PECOS Enrolled
8623 MAPLETWIST ST, HOUSTON, TX 77083(346) 303-5186 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2025, Sep 2, 2020 (2 updates tracked since 2020).

About Imoleayo Omogunsoye NPPES

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

IMOLEAYO OMOGUNSOYE (NPI 1255945713) is an individual women's health provider in Houston, Texas, licensed in Texas (1207194) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255945713
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameIMOLEAYO OMOGUNSOYE
Location Address8623 MAPLETWIST STHouston, TX 77083-6859
Mailing Address1155 Dairy Ashford RdHouston, TX 77079-3021 · (713) 799-2200
Phone(346) 303-5186
Sole ProprietorNo
Enumeration DateSeptember 2, 2020
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1255945713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in TX · 1207194
Also ListedRegistered NurseTaxonomy 163W00000X · License 977989 (TX)
8623 MAPLETWIST ST, Houston, TX 77083
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Imoleayo Omogunsoye is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Imoleayo Omogunsoye reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pristine Ob-Gyn Care PLLC
20 mi
Medical Specialty
13523 HARGRAVE RD
Houston, TX 77070
  • Reassigned Medicare billing, Texas enrollment
  • 14 clinicians in this Medicare group
NPI 1346514619 (281) 206-4496
Pristine Pediatrics & Family Medicine Clinic LLC
20 mi
Pediatrics
13523 HARGRAVE RD
Houston, TX 77070
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group
NPI 1427521525 (281) 206-4496

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77083 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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 Imoleayo Omogunsoye's NPI number?

The NPI number for Imoleayo Omogunsoye is 1255945713. It was assigned to this individual provider in the NPPES registry on September 2, 2020.

Where is Imoleayo Omogunsoye located?

Imoleayo Omogunsoye practices at 8623 Mapletwist St, Houston, TX 77083. The listed phone number is (346) 303-5186.

What is Imoleayo Omogunsoye's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Imoleayo Omogunsoye enrolled in Medicare?

Yes. Imoleayo Omogunsoye is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Imoleayo Omogunsoye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Imoleayo Omogunsoye reassigns Medicare benefits to 2 organizations: Pristine Ob-Gyn Care PLLC (Houston, TX) and Pristine Pediatrics & Family Medicine Clinic LLC (Houston, TX). 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 Imoleayo Omogunsoye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Imoleayo Omogunsoye was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.