JACKLYN OMORODION MD
NPI 1497215156
Medical Genetics - Clinical Genetics (M.D.) in Boston, MA
About Jacklyn Omorodion Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKLYN OMORODION MD (NPI 1497215156) is an individual clinical genetics (m.d.) provider in Boston, Massachusetts, licensed in Massachusetts (1015111) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Jacklyn Omorodion Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacklyn Omorodion reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 1,358 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.
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.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Jacklyn Omorodion's NPI number?
The NPI number for Jacklyn Omorodion is 1497215156. It was assigned to this individual provider in the NPPES registry on March 20, 2019.
Where is Jacklyn Omorodion located?
Jacklyn Omorodion practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.
What is Jacklyn Omorodion's specialty?
The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.
Is Jacklyn Omorodion enrolled in Medicare?
Yes. Jacklyn Omorodion is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacklyn Omorodion's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacklyn Omorodion reassigns Medicare benefits to Children's Hospital Pediatric Associates, Inc (Boston, MA). 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 Jacklyn Omorodion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacklyn Omorodion accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Jacklyn Omorodion 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 Jacklyn Omorodion was last updated on August 11, 2023. 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.
# Jacklyn Omorodion, MD · NPI 1497215156
Clinical Genetics (M.D.) physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 20, 2019.
## Identity
- **NPI:** 1497215156 (Entity type: Individual)
- **Enumerated:** March 20, 2019
- **Primary specialty:** Medical Genetics - Clinical Genetics (M.D.) · taxonomy 207SG0201X
- **State license:** 1015111 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 LONGWOOD AVE, Boston, MA 02115-5724
- **Phone:** (617) 355-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Children's Hospital Pediatric Associates, Inc (NPI 1457306664, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1497215156) · Data from the CMS NPPES public registry.