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DAMILOLA EWONUBARI OLUPONA DO
NPI 1477864932
Family Medicine in Lewiston, ID

Active since June 29, 2010PECOS EnrolledAccepts Medicare Assignment
338 6TH ST STE 101, LEWISTON, ID 83501(208) 848-8300(208) 848-8303 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 10, 2022, Feb 10, 2016 (2 updates tracked since 2016).

About Damilola Ewonubari Olupona Do NPPES

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

DAMILOLA EWONUBARI OLUPONA DO (NPI 1477864932) is an individual family medicine provider in Lewiston, Idaho, licensed in Idaho (O-0716) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1477864932
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDAMILOLA EWONUBARI OLUPONACredential: DO
Location Address338 6TH ST STE 101Lewiston, ID 83501-2420
Mailing Address203 N Washington St Ste 300Spokane, WA 99201-0254 · (509) 444-8888 · Fax (509) 444-7806
Phone(208) 848-8300
Fax(208) 848-8303
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 29, 2010
Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration
✔ NPI 1477864932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in ID · O-0716✔ Licensed in WA · OP60328681
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.
338 6TH ST STE 101, Lewiston, ID 83501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Damilola Ewonubari Olupona Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709020100
PECOS Enrollment IDI20180814002020
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 Reassignment

Medicare enrollment records show Damilola Olupona reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sapphire At Gresham Rehab, LLC
268 mi
Skilled Nursing Facility
405 NE 5TH ST
Gresham, OR 97030
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1609171081 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1033740899 (503) 666-5600

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 83501 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

MULLOY G HANSEN M.D
Family Medicine
338 6TH ST STE 101
LEWISTON, ID 83501
Nez Perce County (120) 884-8830
MAREE P MCHUGH FNP
Nurse Practitioner (Community Health)
338 6TH ST STE 101
LEWISTON, ID 83501
Nez Perce County (208) 848-8300

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 Damilola Olupona's NPI number?

The NPI number for Damilola Olupona is 1477864932. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Where is Damilola Olupona located?

Damilola Olupona practices at 338 6th St Ste 101, Lewiston, ID 83501. The listed phone number is (208) 848-8300.

What is Damilola Olupona's specialty?

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

Is Damilola Olupona enrolled in Medicare?

Yes. Damilola Olupona is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Damilola Olupona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Damilola Olupona reassigns Medicare benefits to Sapphire At Gresham Rehab, LLC (Gresham, OR). The 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 Damilola Olupona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Damilola Olupona accept?

Health plans from Kaiser Permanente list Damilola Olupona 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 Damilola Olupona was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.