TONYE BURUTOLU DO
NPI 1598406811
Pediatrics in Gastonia, NC

Q: What is Tonye Burutolu's NPI number?

The NPI number for Tonye Burutolu is 1598406811. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Q: What is Tonye Burutolu's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Tonye Burutolu was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 April 02, 2022PECOS Enrolled

991 W HUDSON BLVD, GASTONIA, NC 28052(704) 853-5010 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2026, Jun 8, 2022 (2 updates tracked since 2022).

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About Tonye Burutolu Do NPPES

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

TONYE BURUTOLU DO (NPI 1598406811) is an individual pediatrics provider in Gastonia, North Carolina, licensed in Illinois (125080752) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1598406811

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameTONYE BURUTOLUCredential: DO

Location Address991 W HUDSON BLVDGastonia, NC 28052-6430

Mailing Address2160 S 1st AveMaywood, IL 60153-3328

Phone(704) 853-5010

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 2, 2022

Last NPPES UpdateApril 2, 20262 updates tracked since enumeration

NPPES CertifiedApril 2, 2026

✔ NPI 1598406811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 125080752

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

991 W HUDSON BLVD, Gastonia, NC 28052

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tonye Burutolu Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850770884

PECOS Enrollment IDI20260206002702

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 Tonye Burutolu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gaston Family Health Services, Inc.

Same address

Federally Qualified Health Center (FQHC)

991 WEST HUDSON BOULEVARD
Gastonia, NC 28052

Reassigned Medicare billing, North Carolina enrollment
207 clinicians in this Medicare group

NPI 1215932215 (704) 853-5079

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 28052 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

MRS. LISA AUSTIN PRESNELL RNC-OB

Registered Nurse (Obstetric, High-Risk)