Individual provider Active NPI

Tunde Olawale Omitogun, MD

  • Internal Medicine Physician
  • Pasadena, TX
National Provider Identifier
1386903037
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q9461 Issued in TX
Practice address
3315 Burke Rd Ste 301
Pasadena, TX 77504-1825
Phone
(832) 966-7243
Fax
(281) 644-0558
NPI assigned
May 15, 2012
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Q9461 TX Primary
Nephrology Physician 207RN0300X Q9461 TX

Addresses

Primary practice location

3315 Burke Rd Ste 301
Pasadena, TX 77504-1825

Mailing address

PO Box 862
Fresno, TX 77545-0862
Phone (832) 966-7243

Other practice location 1

10970 Shadow Creek Pkwy Ste 220
Pearland, TX 77584-0102
Phone (832) 966-7243

Other practice location 2

2223A Highway 6 S
Houston, TX 77077-4321
Phone (832) 966-7243

Other practice location 3

1631 North Loop W Ste 480
Houston, TX 77008-1548
Phone (832) 966-7243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150902002947 TN Practitioner - Internal Medicine 0648586842 Reassigns benefits to 2 organizations
I20161208000175 TX Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Nephrology 0648586842 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Surgeons and Physicians Network IncGroup PAC ID 8426304221, 62 clinicians

Practice addresses (Care Compare)

3315 Burke Rd
Suite 306
Pasadena, TX 77504-1825
Phone (832) 966-7243

4140 Southwest Fwy
Houston, TX 77027-7311
Phone (713) 795-4884

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Dec 19, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince Nov 7, 2020 Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Concord Medical Group PLLC CurrentSince Apr 1, 2017 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Comprehensive Hospitalist Services of Texas, PLLC Internal Medicine CurrentSince Aug 24, 2016 Accepting new patients
Texas Health Physicians Group CurrentSince Jul 1, 2021 Accepting new patients
Ies Hospitalists PLLC Hospitalist CurrentSince Mar 23, 2022 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Nov 7, 2020 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Hospitalist Current Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Hospitalist CurrentSince Aug 24, 2016 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Apr 1, 2017 Accepting new patients
Advanced Surgeons & Physicians Network, Inc. Past Accepting new patients
Texas Em-I Medical Services, PA Internal Medicine Past Accepting new patients
KPH-Consolidation, Inc. Past Accepting new patients

Locations (25 of 34)

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

481 Interstate Dr
Manchester, TN 37355
Phone (931) 728-3586

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

224 W Pleasant Run Rd
Cedar Hill, TX 75104
Phone (972) 291-5977

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687

10970 Shadow Creek Pkwy
Ste 220
Pearland, TX 77584
Phone (713) 412-2821

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

2601 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-4282

2620 Communications Pkwy
Plano, TX 75093
Phone (214) 501-4672

Interoperability endpoints

  • Direct secure messaging: tomitogun457838@direct.stlukeshealth.org
  • Direct secure messaging: tunde.omitogun.1@13131.direct.athenahealth.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1386903037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775450862",
            "telephone_number": "832-966-7243",
            "fax_number": "281-644-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 BURKE RD STE 301",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041825",
            "telephone_number": "832-966-7243",
            "fax_number": "281-644-0558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10970 Shadow Creek Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775840102",
            "country_code": "US",
            "telephone_number": "832-966-7243",
            "fax_number": "281-644-0558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2223A Highway 6 S",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770774321",
            "country_code": "US",
            "telephone_number": "832-966-7243",
            "fax_number": "281-644-0558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1631 North Loop W Ste 480",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770081548",
            "country_code": "US",
            "telephone_number": "832-966-7243",
            "fax_number": "281-644-0558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMITOGUN",
        "first_name": "TUNDE",
        "middle_name": "OLAWALE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-15",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q9461",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "Q9461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.