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IMMANUEL OMOGORIOLA OLARINDE M.D.
NPI 1619766052
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since May 02, 2025PECOS Enrolled
VALLEYWISE HEALTH, 2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-5011 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Immanuel Omogoriola Olarinde M.d. NPPES

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

IMMANUEL OMOGORIOLA OLARINDE M.D. (NPI 1619766052) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619766052
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIMMANUEL OMOGORIOLA OLARINDECredential: M.D.
Location AddressVALLEYWISE HEALTH, 2601 E ROOSEVELT STPhoenix, AZ 85008
Mailing AddressCreighton University, 3100 N. Central AvenuePhoenix, AZ 85012
Phone(602) 344-5011
Sole ProprietorNo
Enumeration DateMay 2, 2025
Last NPPES UpdateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
✔ NPI 1619766052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
VALLEYWISE HEALTH, Phoenix, AZ 85008
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Immanuel Omogoriola Olarinde M.d. 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.

Other Providers at the Same Location NPPES

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

MONTY SALANOA MD
Family Medicine (Adult Medicine)
VALLEYWISE HEALTH, 2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011

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 Immanuel Olarinde's NPI number?

The NPI number for Immanuel Olarinde is 1619766052. It was assigned to this individual provider in the NPPES registry on May 2, 2025.

Where is Immanuel Olarinde located?

Immanuel Olarinde practices at Valleywise Health 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-5011.

What is Immanuel Olarinde's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Immanuel Olarinde enrolled in Medicare?

Yes. Immanuel Olarinde is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Immanuel Olarinde was last updated on January 21, 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.