MR. SAMSON OLUWAFEMI ILORI DNP, FNP-BC, NP-C
NPI 1770921652
Nurse Practitioner - Family in San Diego, CA
About Mr. Samson Oluwafemi Ilori Dnp, Fnp-bc, Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SAMSON OLUWAFEMI ILORI DNP, FNP-BC, NP-C (NPI 1770921652) is an individual family provider in San Diego, California, licensed in California (95000581) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).
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
Mr. Samson Oluwafemi Ilori Dnp, Fnp-bc, Np-c 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 Samson Ilori reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 16 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 6
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 92111 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Samson Ilori's NPI number?
The NPI number for Samson Ilori is 1770921652. It was assigned to this individual provider in the NPPES registry on June 12, 2013.
Where is Samson Ilori located?
Samson Ilori practices at 4849 Ronson Ct #217, San Diego, CA 92111. The listed phone number is (858) 279-1212.
What is Samson Ilori's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samson Ilori enrolled in Medicare?
Yes. Samson Ilori 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 Samson Ilori's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samson Ilori reassigns Medicare benefits to Home Physicians Medical Group, Inc. (San Diego, CA). 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 Samson Ilori'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 Samson Ilori was last updated on November 26, 2022. 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.
# Mr. Samson Oluwafemi Ilori, DNP, FNP-BC, NP-C · NPI 1770921652
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since June 12, 2013.
## Identity
- **NPI:** 1770921652 (Entity type: Individual)
- **Enumerated:** June 12, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95000581 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4849 RONSON CT, #217, San Diego, CA 92111-1805
- **Phone:** (858) 279-1212 · **Fax:** (858) 279-1420
## 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:** Home Physicians Medical Group, Inc. (NPI 1770523169, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** November 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1770921652) · Data from the CMS NPPES public registry.