Jadesola I Omoyeni, M.D

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

R6776 Issued in TX

Practice address

1804 NE Loop 410 Ste 101
San Antonio, TX 78217-5211

Phone

(210) 614-1234

NPI assigned

Aug 5, 2012

Last updated

Oct 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jadesola I Fapohunda Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Digestive Disease Consultants, PLLCGroup PAC ID 3375531379, 616 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
• Methodist Hospital Hospital, San Antonio, TX, CCN 450388
• Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055

Merit-based Incentive Payment System (MIPS)

Final score

80.98 of 100Reported as group

Quality

66.51

Promoting interoperability

98

Improvement activities

40

Cost

71.76

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Texas Digestive Disease Consultants, PLLC

  • Gastroenterology Physician
  • Irving, TX
  • NPI 1053397331
  Medicare reassignment Care Compare group NPD
• Texas Digestive Disease Consultants, PLLC

  • Gastroenterology Physician
  • Southlake, TX
  • NPI 1649256546
  NPD
• Texas Digestive Disease Consultants PLLC

  • Gastroenterology Physician
  • Covington, LA
  • NPI 1295428415
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Healthcare System of San Antonio LTD LLP

  dba Methodist Hospital Stone Oak

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1659525236
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  dba Methodist Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1124074273
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  dba Metropolitan Methodist Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1689627655
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  dba Methodist Specialty and Transplant Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1952348021
  Care Compare affiliation
• VHS San Antonio Partners LLC

  dba Baptist Medical Center

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1598744856
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1043567423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 NE LOOP 410 STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175211",
            "telephone_number": "210-614-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 NE LOOP 410 STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175211",
            "telephone_number": "210-614-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOYENI",
        "first_name": "JADESOLA",
        "middle_name": "I",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-05",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "R6776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385652801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385652802",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.gastroconsa.com",
            "affiliation": "N",
            "address_1": "1804 NE Loop 410 Ste 101",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782175211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JADESOLA",
            "last_name": "FAPOHUNDA",
            "middle_name": "I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keyamo M Omokuru, DNP, PMHNP-BC
• Oluwatosin Omole, M.D, MPH
• Dorothy Nabwire Omondi, RN
• Osabuohien Omoregie, DNP
• Abiodun Omotoyo
• Oms Solutions PLLC (Doctors Implants)
• Omsrijas, LLC (Continuum Outpatient Center)
• On-Site Cardiovascular Imaging LLC
• On-the-Go Mobile Blood Services LLC
• Oyindamola Aderonke Onafuwa

• Gastroenterology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.