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FUNMILOLA O ODUTAYO
NPI 1679761845
Nurse Practitioner - Family in Rosenberg, TX

Active since October 12, 2007PECOS Enrolled
3200 AVENUE I, ROSENBERG, TX 77471(832) 344-3650(832) 344-3898 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 18, 2024, May 13, 2017 (2 updates tracked since 2017).

About Funmilola O Odutayo NPPES

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

FUNMILOLA O ODUTAYO (NPI 1679761845) is an individual family provider in Rosenberg, Texas, licensed in Texas (730330) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1679761845
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameFUNMILOLA O ODUTAYO
Location Address3200 AVENUE IRosenberg, TX 77471-3630
Mailing Address3200 Avenue IRosenberg, TX 77471-3630 · (832) 344-3650 · Fax (832) 344-3898
Phone(832) 344-3650
Fax(832) 344-3898
Sole ProprietorNo
Enumeration DateOctober 12, 2007
Last NPPES UpdateApril 18, 20242 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1679761845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 730330
3200 AVENUE I, Rosenberg, TX 77471
Open in Google Maps ↗

Secondary Practice Location 1

Location 16776 Southwest Fwy Ste 5306776Houston, TX 77074-2107 · Phone (832) 400-2354 · Fax (832) 400-2355

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Funmilola O Odutayo 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

3

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

Adeline Memorial Medical Group PLLC
Same address
Family
3200 AVENUE I
Rosenberg, TX 77471
  • Reassigned Medicare billing, Texas enrollment
NPI 1760075667 (832) 344-3650
Vpa Of Texas PLLC
24 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
241 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 77471 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.

Other Providers at the Same Location NPPES

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

ADELINE MEMORIAL MEDICAL GROUP PLLC
Nurse Practitioner (Family)
3200 AVENUE I
ROSENBERG, TX 77471
Fort Bend County (832) 344-3650

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 Funmilola Odutayo's NPI number?

The NPI number for Funmilola Odutayo is 1679761845. It was assigned to this individual provider in the NPPES registry on October 12, 2007.

Where is Funmilola Odutayo located?

Funmilola Odutayo practices at 3200 Avenue I, Rosenberg, TX 77471. The listed phone number is (832) 344-3650.

What is Funmilola Odutayo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Funmilola Odutayo enrolled in Medicare?

Yes. Funmilola Odutayo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Funmilola Odutayo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Funmilola Odutayo reassigns Medicare benefits to 3 organizations: Adeline Memorial Medical Group PLLC (Rosenberg, TX), 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 Funmilola Odutayo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Funmilola Odutayo accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Funmilola Odutayo 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 Funmilola Odutayo was last updated on April 18, 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.