NPIMap

Individual provider Active NPI

Olutoni Omotomilola Odumosu, MD

  • Family Medicine Physician
  • Cypress, TX
National Provider Identifier
1477846772
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P7525 Issued in TX
Practice address
9915 Barker Cypress Rd Ste 200
Cypress, TX 77433-1203
Phone
(281) 737-1555
Fax
(281) 737-1556
NPI assigned
May 18, 2011
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10040638 TX
Family Medicine Physician 207Q00000X P7525 TX Primary

Addresses

Primary practice location

9915 Barker Cypress Rd Ste 200
Cypress, TX 77433-1203

Mailing address

18102 Dockside Landing Dr
Cypress, TX 77433-5037
Phone (972) 835-2700

Other names 1

  • Toni Idowu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141031001072 TX Practitioner - Family Practice 3577784719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411

7550 Greenbriar Dr
Houston, TX 77030-4508

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10040638TXMDFamily Medicine Physician
P7525TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Family Medicine CurrentSince Oct 3, 2014 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jun 3, 2024 Accepting new patients
TMH Physician Associates PLLC Family Medicine CurrentSince Jun 3, 2024 Accepting new patients

Locations

27700 NW Freeway
Ste 100
Cypress, TX 77433
Phone (346) 231-6850

9915 Barker Cypress Rd
Ste 200
Cypress, TX 77433
Phone (281) 737-0435

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

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

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

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

Interoperability endpoints

  • Direct secure messaging: oodumosu544330@directhoustonmethodist.org

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1477846772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 DOCKSIDE LANDING DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335037",
            "telephone_number": "972-835-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 BARKER CYPRESS RD STE 200",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331203",
            "telephone_number": "281-737-1555",
            "fax_number": "281-737-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUMOSU",
        "first_name": "OLUTONI",
        "middle_name": "OMOTOMILOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10040638",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONI",
            "last_name": "IDOWU",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.