Individual provider Active NPI

Oluwafishayo Omokehinde Omidele, NP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1447635461
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128397 Issued in TX
Practice address
18220 State Highway 249 Ste 130
Houston, TX 77070-4371
Phone
(281) 737-0435
Fax
(281) 737-0439
NPI assigned
Jul 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP500007162 DC
Adult Health Nurse Practitioner 363LA2200X 779886 TX
Family Nurse Practitioner 363LF0000X AP128397 TX Primary

Addresses

Primary practice location

18220 State Highway 249 Ste 130
Houston, TX 77070-4371

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-2704

Other practice location 1

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 537-4686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150819007542 TX Practitioner - Nurse Practitioner 1052626173 Reassigns benefits to 1 organization
I20240112000065 DC Practitioner - Nurse Practitioner 1052626173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johns Hopkins UniversityGroup PAC ID 1052223229, 196 clinicians

Practice addresses (Care Compare)

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 537-4000

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3100

Hospital & facility affiliations

  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP500007162DCMDNurse Practitioner
AP128397TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Dec 5, 2023 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jun 7, 2021 Accepting new patients
Johns Hopkins University CurrentSince Dec 5, 2023 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jun 7, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5255 Loughboro Rd NW
Bldg B
Washington, DC 20016
Phone (202) 537-4080

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

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

18220 Tomball Pkwy
Ste 130
Houston, TX 77070
Phone (281) 737-0435

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: oomidele79125@directhoustonmethodist.org
  • Direct secure messaging: oomidele1163541@direct.hopkinsmedicine.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1447635461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-2704",
            "fax_number": "281-732-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 STATE HIGHWAY 249 STE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704371",
            "telephone_number": "281-737-0435",
            "fax_number": "281-737-0439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5255 Loughboro Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200162633",
            "country_code": "US",
            "telephone_number": "202-537-4686",
            "fax_number": "202-537-4965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMIDELE",
        "first_name": "OLUWAFISHAYO",
        "middle_name": "OMOKEHINDE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "NP500007162",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "779886",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.