OMOBOLA DEBRAH OSUNLETI
NPI 1295504462
Nurse Practitioner - Family in Bayside, NY

Active since December 28, 2023PECOS EnrolledAccepts Medicare Assignment
3629 BELL BLVD STE 200, BAYSIDE, NY 11361(718) 358-0554 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Omobola Debrah Osunleti NPPES

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

OMOBOLA DEBRAH OSUNLETI (NPI 1295504462) is an individual family provider in Bayside, New York, licensed in New York (352879) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2023).

NPPES Registry Identity

NPI1295504462
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameOMOBOLA DEBRAH OSUNLETI
Location Address3629 BELL BLVD STE 200Bayside, NY 11361-2056
Mailing Address3629 Bell Blvd Ste 200Bayside, NY 11361-2056 · (718) 358-0554
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2023
Enumeration DateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
NPI 1295504462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 352879
3629 BELL BLVD STE 200, Bayside, NY 11361

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

Omobola Debrah Osunleti 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 ID5890136725
PECOS Enrollment IDI20240509002598
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11361 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 Omobola Osunleti's NPI number?

The NPI number for Omobola Osunleti is 1295504462. It was assigned to this individual provider in the NPPES registry on December 28, 2023.

Where is Omobola Osunleti located?

Omobola Osunleti practices at 3629 Bell Blvd Ste 200, Bayside, NY 11361. The listed phone number is (718) 358-0554.

What is Omobola Osunleti's specialty?

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

Is Omobola Osunleti enrolled in Medicare?

Yes. Omobola Osunleti 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 Omobola Osunleti was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.