OMOBOLAWA YESIDE KUKOYI M.D.
NPI 1518349133
Emergency Medicine in Monmouth, IL

Active since June 19, 2015PECOS EnrolledAccepts Medicare Assignment
1000 W HARLEM AVE, MONMOUTH, IL 61462(309) 734-3141(309) 734-3029 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Omobolawa Yeside Kukoyi M.d. NPPES

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

OMOBOLAWA YESIDE KUKOYI M.D. (NPI 1518349133) is an individual emergency medicine provider in Monmouth, Illinois, licensed in Illinois (036146048) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1518349133
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameOMOBOLAWA YESIDE KUKOYICredential: M.D.
Location Address1000 W HARLEM AVEMonmouth, IL 61462-1007
Mailing Address1000 W Harlem AveMonmouth, IL 61462-1007 · (309) 734-3141 · Fax (309) 734-3029
Fax(309) 734-3029
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2015
Enumeration DateJune 19, 2015
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1518349133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036146048✔ Licensed in IL · 125066660
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1000 W HARLEM AVE, Monmouth, IL 61462

Secondary Practice Locations 2

Location 1635 N Dearborn St Ste 100Chicago, IL 60654-4618 · Phone (312) 694-2273 · Fax (312) 694-2129
Location 25841 S. Maryland Ave, Emergency Med, Univ of Chicago,, MC 5068, Room L539Chicago, IL 60637 · Phone (773) 702-9500 · Fax (773) 702-3135

Accepted 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

Omobolawa Yeside Kukoyi M.d. 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 ID1254634322
PECOS Enrollment IDI20180905001681, I20240219002886, I20251226000732
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

16

Medicare enrollment records show Omobolawa Kukoyi reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
Emergency Care
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • 122 clinicians in this Medicare group
Emergency Medicine
1122 WEST VETERANS PARKWAY
Yorkville, IL 60560
  • Reassigned Medicare billing, Illinois enrollment
  • 116 clinicians in this Medicare group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
Emergency Medical Services
520 S MAPLE AVE, EMERGENCY DEPARTMENT
Oak Park, IL 60304
  • Reassigned Medicare billing, Illinois enrollment
  • 124 clinicians in this Medicare group
Rural Health
2670 NEW HOLT RD STE 120
Paducah, KY 42001
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,441 clinicians in this Medicare group
Family Medicine
720 W HILL ST
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
Multi-Specialty
2901 S 74TH ST
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • 658 clinicians in this Medicare group
Emergency Medicine
6161 S YALE AVE
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 263 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
63 services63 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
31 services31 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital South, LLC

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370218
Location10501 East 91st Street SouthTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Oakbend Medical Center

Acute Care Hospitals · Richmond, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450330
Location1705 Jackson StRichmond, TX 77469 · Fort Bend County
Emergency services Birthing friendly

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61462 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Durable Medical Equipment & Medical Supplies
1000 W HARLEM AVE
MONMOUTH, IL 61462
Nurse Practitioner (Family)
1000 W HARLEM AVE
MONMOUTH, IL 61462
Clinic/Center (Rural Health)
1000 W HARLEM AVE
MONMOUTH, IL 61462
Emergency Medicine
1000 W HARLEM AVE
MONMOUTH, IL 61462
Family Medicine (Geriatric Medicine)
1000 W HARLEM AVE
MONMOUTH, IL 61462
Internal Medicine
1000 W HARLEM AVE
MONMOUTH, IL 61462
General Practice
1000 W HARLEM AVE
MONMOUTH, IL 61462
Nurse Practitioner
1000 W HARLEM AVE
MONMOUTH, IL 61462

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 Omobolawa Kukoyi's NPI number?

The NPI number for Omobolawa Kukoyi is 1518349133. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Omobolawa Kukoyi located?

Omobolawa Kukoyi practices at 1000 W Harlem Ave, Monmouth, IL 61462. The listed phone number is (309) 734-3141.

What is Omobolawa Kukoyi's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Omobolawa Kukoyi enrolled in Medicare?

Yes. Omobolawa Kukoyi 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 organizations bill Medicare for Omobolawa Kukoyi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omobolawa Kukoyi reassigns Medicare benefits to 16 organizations: Osf Multi-Specialty Group (Peoria, IL), Methodist Medical Center Of Illinois (Peoria, IL), Aurora Emergency Physicians, LLC (Yorkville, IL), Carle Health Medical Group (Urbana, IL), Northwestern Medical Faculty Foundation (Carol Stream, IL) and 11 more organizations, listed in the Medicare section above. 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 Omobolawa Kukoyi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omobolawa Kukoyi accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CareSource, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit and 1 other insurer list Omobolawa Kukoyi 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.

Is Omobolawa Kukoyi affiliated with any hospitals?

According to CMS data, Omobolawa Kukoyi is affiliated with St Mary Medical Center, Saint Francis Hospital, Inc, Saint Francis Hospital South, LLC, Oakbend Medical Center and Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Omobolawa Kukoyi was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.