DR. OMOTAYO AYONIKE IDERA-ABDULLAH M.D.
NPI 1790942308
Pediatrics in Fort Rucker, AL

Q: What is Omotayo Idera-abdullah's NPI number?

The NPI number for Omotayo Idera-abdullah is 1790942308. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Q: What is Omotayo Idera-abdullah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 21, 2008PECOS Enrolled

301 ANDREWS AVENUE, FORT RUCKER, AL 36362(344) 255-7137 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Omotayo Ayonike Idera-abdullah M.d. NPPES

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

DR. OMOTAYO AYONIKE IDERA-ABDULLAH M.D. (NPI 1790942308) is an individual pediatrics provider in Fort Rucker, Alabama, licensed in Florida (ME119515) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790942308

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. OMOTAYO AYONIKE IDERA-ABDULLAHCredential: M.D.

Location Address301 ANDREWS AVENUEFort Rucker, AL 36362-5333

Mailing Address301 Andrews AveFort Rucker, AL 36362-5333 · (334) 255-7000

Phone(344) 255-7137

Sole ProprietorNo

Enumeration DateMay 21, 2008

Last NPPES UpdateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1790942308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME119515

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

301 ANDREWS AVENUE, Fort Rucker, AL 36362

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Other Identifiers 1

Medicaid012049700FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Omotayo Ayonike Idera-abdullah M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36362 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

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Other Providers at the Same Location NPPES 20

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

MS. CANDICE M HOBBS

Nurse Practitioner (Family)

301 ANDREWS AVENUE
FORT RUCKER, AL 36362

Dale County (334) 255-7649

CHRISTOPHER WARREN FLEMING PHARM. D

Pharmacist

301 ANDREWS AVENUE
FORT RUCKER, AL 36362

Dale County (800) 261-7193

SONYA HEIDT M.D.

Emergency Medicine

301 ANDREWS AVENUE
FORT RUCKER, AL 36362

Dale County (334) 255-7474

HEATHER GOODSON PT ASSISTANT

Physical Therapy Assistant

301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362

Dale County (334) 255-7169

MR. ERIC WASHINGTON PA-C

Physician Assistant

301 ANDREWS AVENUE
FORT NOVOSEL, AL 36362

Dale County (334) 255-7000

MONICA B. GORBANDT MD

Internal Medicine

301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362

Dale County (334) 255-7387

MRS. KRISTIN WALKER HENDERSON BSN, RN, CCM

Registered Nurse (Case Management)

301 ANDREWS AVENUE
FORT RUCKER, AL 36362

Dale County (334) 255-7200

MRS. IDA SUE MONTGOMERY CRNP

Nurse Practitioner (Primary Care)

301 ANDREWS AVENUE, LYSTER ARMY OUTPATIENT CLINIC
FORT RUCKER, AL 36362

Dale County (334) 255-7387

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 Omotayo Idera-abdullah's NPI number?

The NPI number for Omotayo Idera-abdullah is 1790942308. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Omotayo Idera-abdullah located?

Omotayo Idera-abdullah practices at 301 Andrews Avenue, Fort Rucker, AL 36362. The listed phone number is (344) 255-7137.

What is Omotayo Idera-abdullah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Omotayo Idera-abdullah enrolled in Medicare?

Yes. Omotayo Idera-abdullah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Omotayo Idera-abdullah was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.