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OLUYEMISI JOKOTADE FATUNDE M.D.
NPI 1457359663
Pediatrics in Amarillo, TX

Active since July 12, 2005PECOS Enrolled
1400 S COULTER ST, AMARILLO, TX 79106(806) 414-9800(806) 354-5689 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Oluyemisi Jokotade Fatunde M.d. NPPES

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

OLUYEMISI JOKOTADE FATUNDE M.D. (NPI 1457359663) is an individual pediatrics provider in Amarillo, Texas, licensed in Texas (N6289) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457359663
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameOLUYEMISI JOKOTADE FATUNDECredential: M.D.
Location Address1400 S COULTER STAmarillo, TX 79106-1786
Mailing Address1400 Wallace BlvdAmarillo, TX 79106-1708 · (806) 414-9800 · Fax (806) 354-5689
Phone(806) 414-9800
Fax(806) 354-5689
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateApril 12, 2017
✔ NPI 1457359663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · N6289✔ Licensed in TX · FTL 42897✔ Licensed in CA · C51242
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1400 S COULTER ST, Amarillo, TX 79106
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Other Identifiers 8

Medicare UPINC51242CA
Medicaid187039601TX
Medicaid00C512420CA
Other187039602TX · Cshcn
Medicare UPIN8K2677TX
Medicaid55354751NM
Medicare PINTXB106422TX
Medicaid200133280 AOK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oluyemisi Jokotade Fatunde 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Oluyemisi Fatunde reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Choctaw Nation Of Oklahoma
329 mi
Primary Care
1801 CHUKKA HINA
Durant, OK 74701
  • Reassigned Medicare billing, Texas enrollment
  • 581 clinicians in this Medicare group
NPI 1396173449 (580) 920-2100
Dhhs, Phs, Naihs, Shiprock Hospital
342 mi
General Acute Care Hospital
6 ROAD 7586
Bloomfield, NM 87413
  • Reassigned Medicare billing, Texas enrollment
  • 572 clinicians in this Medicare group
NPI 1760427587 (505) 368-6401

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 79106 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

MRS. TIFFANY SHEA THOMPSON RNC, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 414-9180
KHALID ALYAMI
Student in an Organized Health Care Education/Training Program
1400 S COULTER ST, SUITE 5100
AMARILLO, TX 79106
Potter County (806) 414-9559
BRENDA CHESLEY
Nurse Practitioner (Pediatrics)
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 414-9800
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER AMARILLO
Family Medicine
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 414-9559
DAVID EGERTON PHD
Psychologist (Family)
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 351-3777
TERESA BAKER MD
Obstetrics & Gynecology
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 414-9650
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER AMARILLO
Surgery
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 414-9558
JOHN SCOTT MILTON MD
Internal Medicine (Infectious Disease)
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 354-5480

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 Oluyemisi Fatunde's NPI number?

The NPI number for Oluyemisi Fatunde is 1457359663. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Oluyemisi Fatunde located?

Oluyemisi Fatunde practices at 1400 S Coulter St, Amarillo, TX 79106. The listed phone number is (806) 414-9800.

What is Oluyemisi Fatunde's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Oluyemisi Fatunde enrolled in Medicare?

Yes. Oluyemisi Fatunde is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Oluyemisi Fatunde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oluyemisi Fatunde reassigns Medicare benefits to 2 organizations: Choctaw Nation Of Oklahoma (Durant, OK) and Dhhs, Phs, Naihs, Shiprock Hospital (Bloomfield, NM). 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 Oluyemisi Fatunde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Oluyemisi Fatunde was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.