FADEKE AMAO
NPI 1417585530
Nurse Practitioner in Houston, TX

Q: What is Fadeke Amao's NPI number?

The NPI number for Fadeke Amao is 1417585530. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Q: What is Fadeke Amao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Fadeke Amao was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 01, 2020PECOS Enrolled

1155 DAIRY ASHFORD RD STE 560, HOUSTON, TX 77079(713) 799-2200 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Nov 25, 2025, Apr 1, 2020 (2 updates tracked since 2020).

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About Fadeke Amao NPPES

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

FADEKE AMAO (NPI 1417585530) is an individual nurse practitioner in Houston, Texas, licensed in Texas (1205461) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1417585530

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameFADEKE AMAO

Location Address1155 DAIRY ASHFORD RD STE 560Houston, TX 77079-3035

Mailing Address1155 Dairy Ashford Rd Ste 560Houston, TX 77079-3035

Phone(713) 799-2200

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 1, 2020

Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration

NPPES CertifiedNovember 25, 2025

✔ NPI 1417585530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 1205461

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1155 DAIRY ASHFORD RD STE 560, Houston, TX 77079

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8527534924

PECOS Enrollment IDI20260414001433

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77079 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.

Other Providers at the Same Location NPPES 20

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

CHIDIMMA MUONAKA

Licensed Vocational Nurse