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DR. ADETOKUNBO OLUKOREDE OMORUYI M.D
NPI 1427275049
Pediatrics - Pediatric Endocrinology in Louisville, KY

Active since April 18, 2007PECOS Enrolled
210 E GRAY STREET, SUITE 803, LOUISVILLE, KY 40202(502) 629-8821(502) 629-8824 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Adetokunbo Olukorede Omoruyi M.d NPPES

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

DR. ADETOKUNBO OLUKOREDE OMORUYI M.D (NPI 1427275049) is an individual pediatric endocrinology provider in Louisville, Kentucky, licensed in Kentucky (42024) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427275049
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameDR. ADETOKUNBO OLUKOREDE OMORUYICredential: M.D
Location Address210 E GRAY STREET, SUITE 803Louisville, KY 40202-3904
Mailing AddressPo Box 2469Louisville, KY 40201-2469 · (502) 852-8500 · Fax (502) 852-8556
Phone(502) 629-8821
Fax(502) 629-8824
Sole ProprietorNo
Enumeration DateApril 18, 2007
Last NPPES UpdateOctober 5, 2012
✔ NPI 1427275049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
Licenses✔ Licensed in KY · 42024✔ Licensed in OH · 35.086930
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Also ListedPediatricsTaxonomy 208000000X · License 42024 (KY)
210 E GRAY STREET, Louisville, KY 40202
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Other Names 1

Former Name (1)Dr. Adetokunbo Olukorede Dawodu M.d.

Other Identifiers 4

Medicaid200919290IN
Medicaid7100062650KY
Medicare PINK059760KY
Medicare PINP400029010KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adetokunbo Olukorede Omoruyi M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 3

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

UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC
Pediatrics (Pediatric Gastroenterology)
210 E GRAY STREET, STE 802
LOUISVILLE, KY 40202
Jefferson County (502) 852-7670
UNIVERSITY CHILDREN'S KIDNEY SPECIALISTS, LLC
Pediatrics (Pediatric Nephrology)
210 E GRAY STREET, STE. 1000
LOUISVILLE, KY 40202
Jefferson County (502) 629-3972
DR. ROBERT PERKINS DILLARD M.D.
Pediatrics (Pediatric Gastroenterology)
210 E GRAY STREET, STE 802
LOUISVILLE, KY 40202
Jefferson County (502) 852-7670

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 Adetokunbo Omoruyi's NPI number?

The NPI number for Adetokunbo Omoruyi is 1427275049. It was assigned to this individual provider in the NPPES registry on April 18, 2007. The provider is also known as Dr. Adetokunbo Olukorede Dawodu M.D..

Where is Adetokunbo Omoruyi located?

Adetokunbo Omoruyi practices at 210 E Gray Street Suite 803, Louisville, KY 40202. The listed phone number is (502) 629-8821.

What is Adetokunbo Omoruyi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Adetokunbo Omoruyi enrolled in Medicare?

Yes. Adetokunbo Omoruyi is registered in the Medicare PECOS enrollment system.

What insurance does Adetokunbo Omoruyi accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and CareSource list Adetokunbo Omoruyi 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 Adetokunbo Omoruyi was last updated on October 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.