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IVIE OMORUYI MD
NPI 1790275915
Emergency Medicine in Brooklyn, NY

Active since May 14, 2018PECOS EnrolledAccepts Medicare Assignment
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: August 16, 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, is affiliated with Wyckoff Heights Medical Center, and is a graduate of Other (2017).

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
Medical School CMSOtherGraduated 2017
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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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

Ivie Omoruyi Md 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 ID3971909664
PECOS Enrollment IDI20210903001203
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.

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wyckoff Heights Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330221
Location374 Stockholm StreetBrooklyn, NY 11237 · Kings County
Emergency services Birthing friendly

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ivie Omoruyi affiliated with any hospitals?

According to CMS data, Ivie Omoruyi is affiliated with Wyckoff Heights Medical Center.

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 18 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.