MR. ADETONA OLADELE ODUNUGA APRN
NPI 1609147180
Nurse Practitioner - Psychiatric/Mental Health in Houston, TX

Active since January 16, 2012PECOS EnrolledAccepts Medicare Assignment
12703 ALIEF CLODINE RD STE 103, HOUSTON, TX 77082(281) 902-2296 Get Directions Write a Review

NPPES record last updated: December 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 24, 2022, Oct 12, 2022 (2 updates tracked since 2022).

About Mr. Adetona Oladele Odunuga Aprn NPPES

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

MR. ADETONA OLADELE ODUNUGA APRN (NPI 1609147180) is an individual psychiatric/mental health provider in Houston, Texas, licensed in Texas (1088655) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609147180
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. ADETONA OLADELE ODUNUGACredential: APRN
Location Address12703 ALIEF CLODINE RD STE 103Houston, TX 77082-5487
Mailing Address6237 Highway 6 S Ste CHouston, TX 77083-1501 · (281) 902-2296
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 16, 2012
Last NPPES UpdateDecember 24, 20222 updates tracked since enumeration
NPPES CertifiedDecember 24, 2022
✔ NPI 1609147180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1088655
12703 ALIEF CLODINE RD STE 103, Houston, TX 77082

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

Mr. Adetona Oladele Odunuga Aprn 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 ID941740559
PECOS Enrollment IDI20240910003280
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

3

Medicare enrollment records show Adetona Odunuga reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Case Management
6100 HILLCROFT AVE STE 642
Houston, TX 77081
  • Reassigned Medicare billing, Texas enrollment
  • 53 clinicians in this Medicare group
Community Health
3008 BLODGETT ST
Houston, TX 77004
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Texas enrollment
  • 1,573 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77082 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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 Adetona Odunuga's NPI number?

The NPI number for Adetona Odunuga is 1609147180. It was assigned to this individual provider in the NPPES registry on January 16, 2012.

Where is Adetona Odunuga located?

Adetona Odunuga practices at 12703 Alief Clodine Rd Ste 103, Houston, TX 77082. The listed phone number is (281) 902-2296.

What is Adetona Odunuga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Adetona Odunuga enrolled in Medicare?

Yes. Adetona Odunuga 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 Adetona Odunuga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adetona Odunuga reassigns Medicare benefits to 3 organizations: Kinghaven Counseling Group Inc (Houston, TX), Sangon Investments LLC (Houston, TX) and Grow Healthcare Group PA (Miami, FL). 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 Adetona Odunuga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adetona Odunuga accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Moda Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Adetona Odunuga 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 Adetona Odunuga was last updated on December 24, 2022. 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.