DR. OMONDI NYONGO MD
NPI 1629099015
Ophthalmology in Portola Valley, CA

Active since July 21, 2006Opted out of Medicare · through Jul 1, 2028
3130 ALPINE RD STE 200, PORTOLA VALLEY, CA 94028(650) 850-5323 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Omondi Nyongo Md NPPES

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

DR. OMONDI NYONGO MD (NPI 1629099015) is an individual ophthalmology provider in Portola Valley, California, licensed in California (A98323) and active in the NPI registry since July 2006. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer and maintains a secondary practice location in Portola Valley.

NPPES Registry Identity

NPI1629099015
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. OMONDI NYONGOCredential: MD
Location Address3130 ALPINE RD STE 200Portola Valley, CA 94028-7521
Mailing Address3130 Alpine Rd Ste 200Portola Valley, CA 94028-7521 · (650) 850-5323
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateMay 20, 2024
NPPES CertifiedApril 15, 2024
✔ NPI 1629099015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A98323
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3130 ALPINE RD STE 200, Portola Valley, CA 94028

Secondary Practice Location 1

Location 13130 Alpine Rd Ste 180Portola Valley, CA 94028-7521 · Phone (650) 850-5323

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Omondi Nyongo Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94028 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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 Omondi Nyongo's NPI number?

The NPI number for Omondi Nyongo is 1629099015. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Omondi Nyongo located?

Omondi Nyongo practices at 3130 Alpine Rd Ste 200, Portola Valley, CA 94028. The listed phone number is (650) 850-5323.

What is Omondi Nyongo's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Omondi Nyongo enrolled in Medicare?

No. Omondi Nyongo has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Omondi Nyongo was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.