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

DR. OMOLOLU LONGE MD
NPI 1467192039
Family Medicine in North Little Rock, AR

Active since March 31, 2022PECOS Enrolled
4143 JOHN F KENNEDY BLVD, NORTH LITTLE ROCK, AR 72116(501) 307-7643(855) 576-4813 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2026, Mar 30, 2026, Mar 9, 2026 (3 updates tracked since 2026).

About Dr. Omololu Longe Md NPPES

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

DR. OMOLOLU LONGE MD (NPI 1467192039) is an individual family medicine provider in North Little Rock, Arkansas, licensed in Arkansas (E-20445) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1467192039
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. OMOLOLU LONGECredential: MD
Location Address4143 JOHN F KENNEDY BLVDNorth Little Rock, AR 72116-8264
Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250 · (888) 987-1151
Fax(855) 576-4813
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 31, 2022
Last NPPES UpdateSeptember 24, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1467192039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E-20445
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4143 JOHN F KENNEDY BLVD, North Little Rock, AR 72116

Secondary Practice Locations 2

Location 1900 S 3rd StMcGehee, AR 71654 · Phone (870) 222-5600
Location 21601 W 40th Ave Ste 100Pine Bluff, AR 71603-6069 · Phone (870) 541-6000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Omololu Longe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921576216
PECOS Enrollment IDI20260505003000
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

4

Medicare enrollment records show Omololu Longe reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
304 E CENTRAL ST
Warren, AR 71671
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1194741611 (Arkansas), NPI 1861519548 (Arkansas)
  • 25 clinicians in this Medicare group
Emergency Medicine
900 S 3RD ST
Mc Gehee, AR 71654
  • Reassigned Medicare billing, Arkansas enrollment
  • 81 clinicians in this Medicare group
Multi-Specialty
61 GRASSE ST
Calico Rock, AR 72519
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1871221176 (Arkansas)
  • 13 clinicians in this Medicare group
Emergency Medicine
2001 S MAIN ST
Hope, AR 71801
  • Reassigned Medicare billing, Arkansas enrollment
  • 323 clinicians in this Medicare group

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 72116 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 2

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

Family Medicine
4143 JOHN F KENNEDY BLVD
NORTH LITTLE ROCK, AR 72116
Nurse Practitioner (Family)
4143 JOHN F KENNEDY BLVD
NORTH LITTLE ROCK, AR 72116

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 Omololu Longe's NPI number?

The NPI number for Omololu Longe is 1467192039. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Omololu Longe located?

Omololu Longe practices at 4143 John F Kennedy Blvd, North Little Rock, AR 72116. The listed phone number is (501) 307-7643.

What is Omololu Longe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Omololu Longe enrolled in Medicare?

Yes. Omololu Longe is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Omololu Longe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omololu Longe reassigns Medicare benefits to 4 organizations: Bradley County Medical Center (Warren, AR), Ess Of Mcgehee LLC (Mc Gehee, AR), Izard Regional Hospital LLC (Calico Rock, AR) and Arkansas Emergency Staffing Solutions, Inc (Hope, AR). 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 Omololu Longe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omololu Longe accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Omololu Longe 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 Omololu Longe was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 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.