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DR. MOBOLAJI AYODEJI OBAYOMI M.D.
NPI 1306295001
Internal Medicine - Nephrology in Flushing, NY

Active since June 03, 2016PECOS EnrolledAccepts Medicare Assignment
15352 76TH RD, FLUSHING, NY 11367(718) 820-0120(718) 820-0121 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2023, Jul 9, 2021, Aug 29, 2019 (3 updates tracked since 2019).

About Dr. Mobolaji Ayodeji Obayomi M.d. NPPES

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

DR. MOBOLAJI AYODEJI OBAYOMI M.D. (NPI 1306295001) is an individual nephrology provider in Flushing, New York, licensed in New York (300681) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1306295001
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MOBOLAJI AYODEJI OBAYOMICredential: M.D.
Location Address15352 76TH RDFlushing, NY 11367-3183
Mailing Address125 Lake St Apt 5j-nWhite Plains, NY 10604-2437 · (240) 252-9401
Phone(718) 820-0120
Fax(718) 820-0121
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 2016
Enumeration DateJune 3, 2016
Last NPPES UpdateOctober 6, 20233 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1306295001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 300681
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedHospitalistTaxonomy 208M00000X · License 25MA10649300 (NJ)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 300681 (NY)
15352 76TH RD, Flushing, NY 11367
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1222 Station Plz N, Suite 509Mineola, NY 11501-3800 · Phone (516) 663-2381 · Fax (516) 663-8796
Location 230 Prospect AveHackensack, NJ 07601-1915 · Phone (551) 996-2000
Location 31610 Dekalb AveBrooklyn, NY 11237-4190 · Phone (718) 571-7060
Location 4100 Woods RdValhalla, NY 10595-1530 · Phone (914) 493-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Dr. Mobolaji Ayodeji Obayomi M.d. 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 ID2860723905
PECOS Enrollment IDI20230606001935
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

3

Medicare enrollment records show Mobolaji Obayomi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wyckoff Professional Medical Services, PC
5.8 mi
Internal Medicine
374 STOCKHOLM ST
Brooklyn, NY 11237
  • Reassigned Medicare billing, New York enrollment
  • 427 clinicians in this Medicare group
NPI 1659710796 (718) 963-6485
Hackensack Meridian Health Medical Group - Specialty Care PC
31 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
Rocket Doctor Practice Group, P.C.
2,456 mi
Emergency Medicine
881 DOVER DR STE 200
Newport Beach, CA 92663
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Rocket Doctor Practice Group PC
  • 38 clinicians in this Medicare group
NPI 1194403642 (831) 777-4283

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

Areas of Expertise CMS Part B claims 5

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
126 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services40 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
65 services30 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
60 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Wyckoff Heights Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330221
Location374 Stockholm StreetBrooklyn, NY 11237 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11367 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES

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

PHOENIX Y XU
Internal Medicine (Nephrology)
15352 76TH RD
FLUSHING, NY 11367
Queens County (718) 820-0120

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 Mobolaji Obayomi's NPI number?

The NPI number for Mobolaji Obayomi is 1306295001. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Mobolaji Obayomi located?

Mobolaji Obayomi practices at 15352 76th Rd, Flushing, NY 11367. The listed phone number is (718) 820-0120.

What is Mobolaji Obayomi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mobolaji Obayomi enrolled in Medicare?

Yes. Mobolaji Obayomi 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 Mobolaji Obayomi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mobolaji Obayomi reassigns Medicare benefits to 3 organizations: Wyckoff Professional Medical Services, PC (Brooklyn, NY), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Rocket Doctor Practice Group, P.C. (Newport Beach, CA). 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 Mobolaji Obayomi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mobolaji Obayomi accept?

Health plans from Oscar Health list Mobolaji Obayomi 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.

Is Mobolaji Obayomi affiliated with any hospitals?

According to CMS data, Mobolaji Obayomi is affiliated with North Shore University Hospital, Long Island Jewish Medical Center and Wyckoff Heights Medical Center.

When was this NPI record last updated?

The NPPES record for Mobolaji Obayomi was last updated on October 6, 2023. 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.