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OMOLOLA ADETUNJI
NPI 1619485893
Nurse Practitioner - Gerontology in Richmond, TX

Active since January 22, 2018PECOS Enrolled
3826 CARTERS LAKE DR, RICHMOND, TX 77406(832) 878-1823 Get Directions Write a Review

NPPES record last updated: January 22, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Omolola Adetunji NPPES

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

OMOLOLA ADETUNJI (NPI 1619485893) is an individual gerontology provider in Richmond, Texas, licensed in Texas (AP135359) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619485893
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameOMOLOLA ADETUNJI
Location Address3826 CARTERS LAKE DRRichmond, TX 77406-6970
Mailing Address3826 Carters Lake DrRichmond, TX 77406-6970
Phone(832) 878-1823
Sole ProprietorYes
Enumeration DateJanuary 22, 2018
✔ NPI 1619485893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · AP135359
3826 CARTERS LAKE DR, Richmond, TX 77406
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omolola Adetunji 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Omolola Adetunji reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa Of Texas PLLC
17 mi
Family Medicine
8588 KATY FWY STE 226A
Houston, TX 77024
  • Reassigned Medicare billing, Texas enrollment
  • 802 clinicians in this Medicare group
NPI 1093753907 (713) 532-6884
Signify Health Medical Associates, PLLC
235 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 77406 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 Omolola Adetunji's NPI number?

The NPI number for Omolola Adetunji is 1619485893. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Where is Omolola Adetunji located?

Omolola Adetunji practices at 3826 Carters Lake Dr, Richmond, TX 77406. The listed phone number is (832) 878-1823.

What is Omolola Adetunji's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Omolola Adetunji enrolled in Medicare?

Yes. Omolola Adetunji is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Omolola Adetunji's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omolola Adetunji reassigns Medicare benefits to 2 organizations: Vpa Of Texas PLLC (Houston, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Omolola Adetunji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Omolola Adetunji was last updated on January 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.