Samuel Olatundun Iranloye

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP144638 Issued in TX

Practice address

2225 Vatican LN
Dallas, TX 75224-4719

Phone

(214) 333-3393

Fax

(214) 333-0809

NPI assigned

Jan 27, 2020

Last updated

Oct 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, WA, CO, NY4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valera Medical PCGroup PAC ID 0547690521, 160 clinicians

Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment Care Compare group NPD
• Valera Medical, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1437782349

  Psychiatric/Mental Health, WA

  Medicare reassignment Care Compare group NPD
• Valera Medical, P.a.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1871248757

  CO, Psychiatric/Mental Health

  Medicare reassignment NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  dba MultiCare Imaging - King

  • Diagnostic Radiology Physician
  • Covington, WA
  • NPI 1578803839
  NPD

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1205467537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 VATICAN LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244719",
            "telephone_number": "214-333-3393",
            "fax_number": "214-333-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 VATICAN LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244719",
            "telephone_number": "214-333-3393",
            "fax_number": "214-333-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRANLOYE",
        "first_name": "SAMUEL",
        "middle_name": "OLATUNDUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AP144638",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urooj Iqbal, RPH
• Zohaib Iqbal
• Leonardo Iquizli
• Rogerio Iquizli
• Ayomide Irabor-Musa
• Bahar Iranmehr, D.D.S
• Mehrnaz Iranmehr, D.D.S.
• Heidi Katherine Iratcabal
• Ashlynn Ireland, PNP-AC
• Stephanie Ann Ireland, LPC

• Psychiatric/Mental Health Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.