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IVIE OMORUYI MD
NPI 1790275915
Emergency Medicine in Brooklyn, NY

Active since May 14, 2018PECOS Enrolled
210 WYCKOFF AVE APT 3R, BROOKLYN, NY 11237 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2022, May 14, 2018 (2 updates tracked since 2018).

About Ivie Omoruyi Md NPPES

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

IVIE OMORUYI MD (NPI 1790275915) is an individual emergency medicine provider in Brooklyn, New York, licensed in New York (311622) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1790275915
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameIVIE OMORUYICredential: MD
Location Address210 WYCKOFF AVE APT 3RBrooklyn, NY 11237-5310
Mailing Address210 Wyckoff Ave Apt 3rBrooklyn, NY 11237-5310 · (925) 917-0964
Sole ProprietorNo
Enumeration DateMay 14, 2018
Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1790275915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 311622
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
210 WYCKOFF AVE APT 3R, Brooklyn, NY 11237
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Secondary Practice Location 1

Location 11425 Portland AveRochester, NY 14621-3011 · Phone (585) 922-5067

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivie Omoruyi Md 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

4

Medicare enrollment records show Ivie Omoruyi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wyckoff Emergency Medicine Services, P.C.
0.3 mi
Emergency Medicine
374 STOCKHOLM ST
Brooklyn, NY 11237
  • Reassigned Medicare billing, New York enrollment
  • 43 clinicians in this Medicare group
NPI 1154369783 (718) 963-6551
Newark Wayne Community Hospital
231 mi
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 clinicians in this Medicare group
NPI 1346369212 (315) 332-2022
Rochester General Hospital
240 mi
Internal Medicine
6692 MIDDLE RD
Sodus, NY 14551
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1821163718 (315) 483-9135
The Unity Hospital Of Rochester
256 mi
General Acute Care Hospital
100 KINGS HWY S
Rochester, NY 14617
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1457395766 (585) 922-1900

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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
59 services57 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
31 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11237 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Ivie Omoruyi's NPI number?

The NPI number for Ivie Omoruyi is 1790275915. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Where is Ivie Omoruyi located?

Ivie Omoruyi practices at 210 Wyckoff Ave Apt 3R, Brooklyn, NY 11237.

What is Ivie Omoruyi's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ivie Omoruyi enrolled in Medicare?

Yes. Ivie Omoruyi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ivie Omoruyi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivie Omoruyi reassigns Medicare benefits to 4 organizations: Wyckoff Emergency Medicine Services, P.C. (Brooklyn, NY), Newark Wayne Community Hospital (Newark, NY), Rochester General Hospital (Sodus, NY) and The Unity Hospital Of Rochester (Rochester, NY). 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 Ivie Omoruyi'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 Ivie Omoruyi was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.