OBEHIOYA T IRUMUDOMON MD - NPI 1578824918 - Psychiatry & Neurology in New Hyde Park, NY

Q: What is Obehioya Irumudomon's NPI number?

The NPI number for Obehioya Irumudomon is 1578824918. It was assigned to this individual provider in the NPPES registry on June 1, 2012.

Q: What is Obehioya Irumudomon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

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About Obehioya T Irumudomon Md NPPES

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

OBEHIOYA T IRUMUDOMON MD (NPI 1578824918) is an individual neurology with special qualifications in child neurology provider in New Hyde Park, New York, licensed in New York (280801) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Hyde Park.

NPPES Registry Identity

NPI1578824918

Entity TypeIndividualFemale

Primary Taxonomy2084N0402X

Provider Legal NameOBEHIOYA T IRUMUDOMONCredential: MD

Location Address2001 MARCUS AVE STE W290New Hyde Park, NY 11042

Mailing Address2001 Marcus Ave Ste W290New Hyde Park, NY 11042-1098 · (516) 465-5255

Phone(516) 465-5255

Fax(718) 347-2240

Sole ProprietorYes

Enumeration DateJune 1, 2012

Last NPPES UpdateApril 24, 20192 updates tracked since enumeration

✔ NPI 1578824918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in NY · 280801

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

2001 MARCUS AVE STE W290, New Hyde Park, NY 11042

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Secondary Practice Location 1

Location 12001 Marcus Ave Ste W290New Hyde Park, NY 11042 · Phone (516) 465-5255 · Fax (718) 347-2240

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Obehioya T Irumudomon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 9

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

MILANA MURDAKHAEV NP

Nurse Practitioner (Pediatrics)