FOLASHADE DEBORAH IJOMA
NPI 1760369557
Nurse Practitioner - Family in Tampa, FL

Q: 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.

Q: What is Folashade Ijoma's specialty?

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

Q: 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 2 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.

Active since August 21, 2025PECOS EnrolledAccepts Medicare Assignment

4610 S MANHATTAN AVE, TAMPA, FL 33611(813) 839-5311 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1760369557

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameFOLASHADE DEBORAH IJOMA

Location Address4610 S MANHATTAN AVETampa, FL 33611-2308

Mailing Address4610 S Manhattan AveTampa, FL 33611-2308 · (813) 812-9968

Phone(813) 839-5311

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 21, 2025

Last NPPES UpdateJune 2, 2026

NPPES CertifiedJune 2, 2026

✔ NPI 1760369557 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 FL · 11041487

4610 S MANHATTAN AVE, Tampa, FL 33611

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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 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.

PECOS PAC ID3678057239

PECOS Enrollment IDI20260320003014

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.

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.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 6

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

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