Active NPI
Osawaru Jude Omoruyi, M.D
- Family Medicine Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 42023
- Practice address
- 2202 Buechel Ave Ste 103
Louisville, KY 40218-2672 - Phone
- (502) 456-0494
- Fax
- (502) 456-0496
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 42023 | KY | Primary |
| Family Medicine Physician | 207Q00000X | 35.088666 | OH | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 01066757A | IN |
Addresses
Primary practice location
2202 Buechel Ave Ste 103
Louisville, KY 40218-2672
Mailing address
2202 Buechel Ave
Ste 105
Louisville, KY 40218-2672
Phone (502) 456-0494
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009500930 | Medicaid | IN | |
| 7100072730 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY, IN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2202 Buechel Ave
Louisville, KY 40218-2672
Phone (502) 456-0494
5757 Lynx CT
Mason, OH 45040-8002
Phone (502) 456-0494
67 San Roy Rd
Santa Rosa Beach, FL 32459-6751
Phone (502) 456-0494
Hospital & facility affiliations
- Hosparus, Inc
- Baptist Health Lagrange
- Norton Hospitals, Inc
- UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital
- Essex Rehabilitation and Healthcare Center
- Louisville East Post Acute
- Richwood Nursing & Rehab
- New Castle Nursing & Rehab
- Wesley Manor
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.088666 | OH | MD | Family Medicine Physician |
| 01066757A | IN | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Telos Health Systems Ky LLC | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Pearl Geriatrics and Palliative Medicine, PSC | Geriatric Medicine | Current | Accepting new patients |
| Pearl Diagnostic Laboratory, LLC | Current | Accepting new patients | |
| Spring Medical Center PLLC | Geriatric Medicine | Current | Accepting new patients |
| Richwoodidence Opco, LLC | Past | Accepting new patients | |
| Pearl Medical Practice PLLC | Past | Accepting new patients | |
| Jeffersontown Opco, LLC | Past | Accepting new patients | |
| Regency Health Center LLC | Past | Accepting new patients | |
| Gallatinidence Opco, LLC | Past | Accepting new patients | |
| Breckinridge Health, Inc. | Past | Accepting new patients | |
| New Castleidence Opco, LLC | Past | Accepting new patients | |
| Hanging Rock LTC, LLC | Past | Accepting new patients | |
| Wesley Manor Retirement Community Inc. | Past | Accepting new patients | |
| Bradford Square Health Center LLC | Past | Accepting new patients | |
| Louisville East Post Acute, LLC | Past | Accepting new patients | |
| Pearl Medical Practice PLLC | Past | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
945 Wall St
Jeffersonville, IN 47130
Phone (812) 725-7187
1012 Richwood Way
Lagrange, KY 40031
Phone (502) 222-3186
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
201 Abraham Flexner Way
Ste 1200
Louisville, KY 40202
Phone (502) 583-8383
1550 Raydale Dr
Louisville, KY 40219
Phone (502) 968-6600
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617
2202 Buechel Ave
Ste 105
Louisville, KY 40218
Phone 50245604944010
3500 Good Samaritan Way
Louisville, KY 40299
Phone (502) 267-7403
4200 Browns Ln
Louisville, KY 40220
Phone (502) 454-8460
5012 E Manslick Rd
Louisville, KY 40219
Phone (502) 969-3277
9600 Lamborne Blvd
Louisville, KY 40272
Phone (502) 935-7284
5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226
50 Adams St
New Castle, KY 40050
Phone (502) 845-2861
Interoperability endpoints
- osawaru.omoruyi@pgapmp-ky.direct.office.nextgen.com
- oomoruyi@pmpp-ky.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Ownership & related parties
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Wesley Manor Retirement Community Inc. | Skilled nursing facility | Adp of the SNF | Aug 17, 2020 |
| Gallatin Nursing & Rehab | Skilled nursing facility | Contracted Managing Employee | Jan 1, 2024 |
| Richwood Nursing & Rehab | Skilled nursing facility | Contracted Managing Employee | May 1, 2018 |
| Louisville East Post Acute | Skilled nursing facility | Contracted Managing Employee | Apr 1, 2016 |
| Essex Rehabilitation and Healthcare Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Sep 4, 2025 Sep 4, 2025 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Louisville, KY
- NPI 1275425258
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Warsaw, KY
- NPI 1477979904
Contracted Managing Employee
-
- Skilled Nursing Facility
- Louisville, KY
- NPI 1659743854
Contracted Managing Employee
-
- Skilled Nursing Facility
- La Grange, KY
- NPI 1326464843
Contracted Managing Employee
-
- Nursing Facility/Intermediate Care Facility
- Louisville, KY
- NPI 1780661868
Adp of the SNF
Organizations & group practices 20
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Louisville, KY
- NPI 1376865972
-
- Mental Health Counselor
- Louisville, KY
- NPI 1629600879
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
Family Medicine
-
- Clinical Medical Laboratory
- Louisville, KY
- NPI 1215544549
-
- Geriatric Medicine (Family Medicine) Physician
- Jeffersonville, IN
- NPI 1689116105
-
- Primary Care Clinic/Center
- Louisville, KY
- NPI 1669841631
-
- Community/Behavioral Health Agency
- Louisville, KY
- NPI 1720894140
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Surgery Physician
- Louisville, KY
- NPI 1972873529
-
- Skilled Nursing Facility
- Frankfort, KY
- NPI 1700593456
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1477743003
Hospital & facility affiliations 44
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Grange, KY
- NPI 1306925540
-
- Community Based Hospice Care Agency
- Madisonville, KY
- NPI 1093491904
-
- Community Based Hospice Care Agency
- Louisville, KY
- NPI 1609922707
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1396961967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 BUECHEL AVE",
"address_2": "STE 105",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402182672",
"telephone_number": "502-456-0494",
"fax_number": "502-456-0496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 BUECHEL AVE STE 103",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402182672",
"telephone_number": "502-456-0494",
"fax_number": "502-456-0496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMORUYI",
"first_name": "OSAWARU",
"middle_name": "JUDE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "42023",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.088666",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "IN",
"license": "01066757A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2009500930",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100072730",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- Omni Community Public Health and Wellness Center
- Omni Family of Services Kentucky, Inc.
- Omni Resource Services
- Omni Resource Services Inc Public Health and Wellness Center
- Adetokunbo Olukorede Omoruyi, M.D
- Omspt Holdings LLC
- On Demand Kare
- On Time Health Transport
- On-Site Dermatology Consultants
- One Anesthesia PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.