DR. OLUTAYO TEMITOPE IMEVBORE M.D.
NPI 1750447421
Hospitalist in New Haven, CT
About Dr. Olutayo Temitope Imevbore M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. OLUTAYO TEMITOPE IMEVBORE M.D. (NPI 1750447421) is an individual hospitalist provider in New Haven, Connecticut, licensed in Connecticut (042354) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Dr. Olutayo Temitope Imevbore M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Olutayo Imevbore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Haven, CT 06510
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Northeast Medical Group Inc
- 1,824 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HAVEN, CT 06504
NEW HAVEN, CT 06504
NEW HAVEN, CT 06504
NEW HAVEN, CT 06504
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 Olutayo Imevbore's NPI number?
The NPI number for Olutayo Imevbore is 1750447421. It was assigned to this individual provider in the NPPES registry on December 28, 2006.
Where is Olutayo Imevbore located?
Olutayo Imevbore practices at 20 York St # Cb-2041, New Haven, CT 06504. The listed phone number is (203) 688-4748.
What is Olutayo Imevbore's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Olutayo Imevbore enrolled in Medicare?
Yes. Olutayo Imevbore 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 organization bills Medicare for Olutayo Imevbore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olutayo Imevbore reassigns Medicare benefits to Mill Hill Medical Consultants Inc (New Haven, CT). The 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 Olutayo Imevbore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Olutayo Imevbore accept?
Health plans from Anthem Blue Cross and Blue Shield list Olutayo Imevbore 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 Olutayo Imevbore was last updated on March 7, 2023. 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.
# Dr. Olutayo Temitope Imevbore, M.D. · NPI 1750447421
Hospitalist physician in New Haven, Connecticut. Individual provider, active in the CMS NPPES registry since December 28, 2006.
## Identity
- **NPI:** 1750447421 (Entity type: Individual)
- **Enumerated:** December 28, 2006
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 042354 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 YORK ST # CB-2041, New Haven, CT 06504-8900
- **Phone:** (203) 688-4748
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Mill Hill Medical Consultants Inc (NPI 1952624769, New Haven, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other 042354 (CT); Medicaid 001423540 (CT); Other 35237 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1750447421) · Data from the CMS NPPES public registry.