FOLASHADE DEBORAH IJOMA
NPI 1760369557
Nurse Practitioner - Family in Tampa, FL
About Folashade Deborah Ijoma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOLASHADE DEBORAH IJOMA (NPI 1760369557) is an individual family provider in Tampa, Florida, licensed in Florida (11041487) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Folashade Deborah Ijoma 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 Folashade Ijoma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockledge, FL 32955
- Reassigned Medicare billing, Florida enrollment
- 106 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAMPA, FL 33611
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 Folashade Ijoma's NPI number?
The NPI number for Folashade Ijoma is 1760369557. It was assigned to this individual provider in the NPPES registry on August 21, 2025.
Where is Folashade Ijoma located?
Folashade Ijoma practices at 4610 S Manhattan Ave, Tampa, FL 33611. The listed phone number is (813) 839-5311.
What is Folashade Ijoma's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Folashade Ijoma enrolled in Medicare?
Yes. Folashade Ijoma 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 Folashade Ijoma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Folashade Ijoma reassigns Medicare benefits to Vitae Health Medical Florida PLLC (Rockledge, FL). 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 Folashade Ijoma'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 Folashade Ijoma was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Folashade Deborah Ijoma · NPI 1760369557
Family physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since August 21, 2025.
## Identity
- **NPI:** 1760369557 (Entity type: Individual)
- **Enumerated:** August 21, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11041487 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4610 S MANHATTAN AVE, Tampa, FL 33611-2308
- **Phone:** (813) 839-5311
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Vitae Health Medical Florida PLLC (NPI 1013562024, Rockledge, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760369557) · Data from the CMS NPPES public registry.