OLAMIGOKE DAVID OMOTAYO
NPI 1396616280
Nurse Practitioner - Family in Greenwood, IN
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
Specialties & Licenses
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
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.
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.
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.
GREENWOOD, IN 46142
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.
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 17 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.
# Olamigoke David Omotayo · NPI 1396616280
Family physician in Greenwood, Indiana. Individual provider, active in the CMS NPPES registry since September 15, 2025.
## Identity
- **NPI:** 1396616280 (Entity type: Individual)
- **Enumerated:** September 15, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71016925A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 821 N STATE ROAD 135, Greenwood, IN 46142-1314
- **Phone:** (317) 560-4300 · **Fax:** (317) 530-9084
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 9, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1396616280) · Data from the CMS NPPES public registry.