OMOLARA LAWAL MD
NPI 1902465073
Psychiatry & Neurology - Neurology in Green Bay, WI
About Omolara Lawal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMOLARA LAWAL MD (NPI 1902465073) is an individual neurology provider in Green Bay, Wisconsin, licensed in Wisconsin (83923-20) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
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
Omolara Lawal 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.
Medicare Billing Reassignments
3Medicare enrollment records show Omolara Lawal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54301
- Reassigned Medicare billing, Wisconsin enrollment
- 216 clinicians in this Medicare group
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 742 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 673 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 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Vincent Hospital
Acute Care Hospitals · Green Bay, WISt Mary's Hospital Medical Center
Acute Care Hospitals · Green Bay, WIDoor County Medical Center
Critical Access Hospitals · Sturgeon Bay, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Omolara Lawal's NPI number?
The NPI number for Omolara Lawal is 1902465073. It was assigned to this individual provider in the NPPES registry on June 11, 2019.
Where is Omolara Lawal located?
Omolara Lawal practices at 1821 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 496-4700.
What is Omolara Lawal's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Omolara Lawal enrolled in Medicare?
Yes. Omolara Lawal 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 organizations bill Medicare for Omolara Lawal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Omolara Lawal reassigns Medicare benefits to 3 organizations: St. Clare Memorial Hospital, Inc. (Green Bay, WI), St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI). 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 Omolara Lawal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Omolara Lawal accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and Security Health Plan list Omolara Lawal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Omolara Lawal affiliated with any hospitals?
According to CMS data, Omolara Lawal is affiliated with St Vincent Hospital, St Mary's Hospital Medical Center and Door County Medical Center.
When was this NPI record last updated?
The NPPES record for Omolara Lawal was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Omolara Lawal, MD · NPI 1902465073
Neurology physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since June 11, 2019.
## Identity
- **NPI:** 1902465073 (Entity type: Individual)
- **Enumerated:** June 11, 2019
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 83923-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1821 S WEBSTER AVE, Green Bay, WI 54301-2253
- **Phone:** (920) 496-4700
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): St. Clare Memorial Hospital, Inc. (NPI 1093173791, Green Bay, WI); St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (NPI 1285613638, Green Bay, WI); St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (NPI 1275799413, Sheboygan, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** December 18, 2024
- **Other identifiers:** Medicaid 100281928 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1902465073) · Data from the CMS NPPES public registry.