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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OLAMIGOKE DAVID OMOTAYO
NPI 1396616280
Nurse Practitioner - Family in Greenwood, IN

Active since September 15, 2025PECOS EnrolledAccepts Medicare Assignment
821 N STATE ROAD 135, GREENWOOD, IN 46142(317) 560-4300(317) 530-9084 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2026, Sep 16, 2025 (2 updates tracked since 2025).

About Olamigoke David Omotayo NPPES

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

OLAMIGOKE DAVID OMOTAYO (NPI 1396616280) is an individual family provider in Greenwood, Indiana, licensed in Indiana (71016925A) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396616280
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameOLAMIGOKE DAVID OMOTAYO
Location Address821 N STATE ROAD 135Greenwood, IN 46142-1314
Mailing Address821 N State Road 135Greenwood, IN 46142-1314 · (317) 560-4300 · Fax (317) 530-9084
Phone(317) 560-4300
Fax(317) 530-9084
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 15, 2025
Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1396616280 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 IN · 71016925A
821 N STATE ROAD 135, Greenwood, IN 46142
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Olamigoke David Omotayo 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 ID244735371
PECOS Enrollment IDI20250927000317
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 Olamigoke Omotayo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Opioid Management LLC
Same address
Pain Medicine
821 N STATE ROAD 135
Greenwood, IN 46142
  • Reassigned Medicare billing, Indiana enrollment
  • 7 clinicians in this Medicare group
NPI 1811351778 (317) 560-4300
Sound Physicians Of Indiana, LLC
67 mi
Hospitalist
1606 N 7TH ST
Terre Haute, IN 47804
  • Reassigned Medicare billing, Indiana enrollment
  • 384 clinicians in this Medicare group
NPI 1184063257 (812) 238-7000

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 46142 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 8

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

MS. JENNIFER DAWN STYER FNP
Nurse Practitioner (Family)
821 N STATE ROAD 135
GREENWOOD, IN 46142
Johnson County (317) 560-4300
SARAH LUCILLE GODSAVE NP
Nurse Practitioner (Family)
821 N STATE ROAD 135
GREENWOOD, IN 46142
Johnson County (317) 560-4300
ASHLEY N SPARKS FNP-C
Nurse Practitioner (Family)
821 N STATE ROAD 135
GREENWOOD, IN 46142
Johnson County (317) 560-4300
ZALFI LLC
Psychiatry & Neurology (Psychiatry)
821 N STATE ROAD 135
GREENWOOD, IN 46142
Johnson County (317) 296-7707
SAMANTHA J SERIGHT FNP
Nurse Practitioner (Family)
821 N STATE ROAD 135
GREENWOOD, IN 46142
Johnson County (317) 560-4300
DR. SIMON FU FENG MD
Family Medicine (Addiction Medicine)
821 N STATE ROAD 135
GREENWOOD, IN 46142
Johnson County (317) 560-4300
OPIOID MANAGEMENT LLC
Pain Medicine (Pain Medicine)
821 N STATE ROAD 135
GREENWOOD, IN 46142
Johnson County (317) 560-4300
MRS. STACEY MICHELLE ENGEL NP
Nurse Practitioner (Primary Care)
821 N STATE ROAD 135
GREENWOOD, IN 46142
Johnson County (317) 560-4300

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 Olamigoke Omotayo's NPI number?

The NPI number for Olamigoke Omotayo is 1396616280. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Olamigoke Omotayo located?

Olamigoke Omotayo practices at 821 N State Road 135, Greenwood, IN 46142. The listed phone number is (317) 560-4300.

What is Olamigoke Omotayo's specialty?

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

Is Olamigoke Omotayo enrolled in Medicare?

Yes. Olamigoke Omotayo 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 Olamigoke Omotayo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olamigoke Omotayo reassigns Medicare benefits to 2 organizations: Opioid Management LLC (Greenwood, IN) and Sound Physicians Of Indiana, LLC (Terre Haute, IN). 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 Olamigoke Omotayo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olamigoke Omotayo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Olamigoke Omotayo 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.

When was this NPI record last updated?

The NPPES record for Olamigoke Omotayo was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.