OLUTAYO ABIDEMI SOGUNRO D.O.
NPI 1477827525
Surgery in Del Rio, TX

Q: What is Olutayo Sogunro's NPI number?

The NPI number for Olutayo Sogunro is 1477827525. It was assigned to this individual provider in the NPPES registry on March 6, 2012.

Q: What is Olutayo Sogunro's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Olutayo Sogunro was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 06, 2012PECOS Enrolled

1200 N BEDELL AVE, DEL RIO, TX 78840(830) 768-9207 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2022, Jul 21, 2022, Feb 6, 2019 (3 updates tracked since 2019).

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About Olutayo Abidemi Sogunro D.o. NPPES

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

OLUTAYO ABIDEMI SOGUNRO D.O. (NPI 1477827525) is an individual surgery provider in Del Rio, Texas, licensed in Maryland (H94522) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1477827525

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameOLUTAYO ABIDEMI SOGUNROCredential: D.O.

Location Address1200 N BEDELL AVEDel Rio, TX 78840-4491

Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004 · (410) 933-6423

Phone(830) 768-9207

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 6, 2012

Last NPPES UpdateSeptember 6, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2022

✔ NPI 1477827525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in MD · H94522✔ Licensed in TX · R2482

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1200 N BEDELL AVE, Del Rio, TX 78840

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Secondary Practice Location 1

Location 15759 Cedar LnColumbia, MD 21044-2912 · Phone (410) 502-0197 · Fax (410) 630-7884

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

Olutayo Abidemi Sogunro D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901174812

PECOS Enrollment IDI20220915001533

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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

50 services43 patients

Repair of wound of trunk by transferring skin, 10.0 sq cm or less 14000

This procedure involves repairing a wound on your body's trunk area (chest, abdomen, or back) using a skin graft. A piece of healthy skin, typically 10.0 square cm or less, is taken from another area of your body and transplanted to the wound site to aid healing.

35 services34 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

30 services30 patients

Biopsy or removal of deep lymph nodes of underarm 38525

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

27 services27 patients

Imaging of lymph nodes during surgery 38900

Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.

26 services26 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

24 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210009

Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County

Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210029

Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County

Emergency services Birthing friendly

Johns Hopkins Howard County Medical Center

Acute Care Hospitals · Columbia, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210048

Location5755 Cedar LaneColumbia, MD 21044 · Howard County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78840 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

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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 12

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

CYNTHIA M HERNANDEZ ANP

Nurse Practitioner (Acute Care)