Imoleayo Omogunsoye

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

1207194 Issued in TX

Practice address

8623 Mapletwist St
Houston, TX 77083-6859

Phone

(346) 303-5186

NPI assigned

Sep 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Pristine OB-GYN Care PLLC

  • Medical Specialty Clinic/Center
  • Houston, TX
  • NPI 1346514619
  Medicare reassignment NPD
• Pristine Pediatrics & Family Medicine Clinic LLC

  • Pediatrics Physician
  • Houston, TX
  • NPI 1427521525
  Medicare reassignment NPD

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1255945713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 DAIRY ASHFORD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793021",
            "telephone_number": "713-799-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8623 MAPLETWIST ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836859",
            "telephone_number": "346-303-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOGUNSOYE",
        "first_name": "IMOLEAYO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "977989",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1207194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omniv Health Systems LLC.
• Chanuvette Omo-Ozugo, RN
• Toyin Omodele, COTA
• Tracy Omoegbele, MD
• Toma Samantha Omofoye, M.D
• Osagiemwangbon Nicoson Omoirawua, D.D.S
• Adeola O. Omojola, M.D.
• Elizabeth Omojola
• Oluwaseyi Rebecca Omole, PTA
• Efeose Omoleme

• Women's Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.