Omotayo Onanuga, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

P7684 Issued in TX

Practice address

833 E Northwest Hwy Ste 400
Grapevine, TX 76051-3302

Phone

(817) 778-0191

Fax

(817) 421-2940

NPI assigned

Jul 23, 2006

Last updated

Nov 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jelil Omotayo Onanuga Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Amicable Psychiatry MD, PA

  dba New Age Behavioral Health

  • Psychiatry Physician
  • Grapevine, TX
  • NPI 1295152148
  Medicare reassignment NPD Authorized official
• Hickory Trail Hospital, L.P.

  • Psychiatric Hospital
  • Desoto, TX
  • NPI 1205999232
  NPD (past)
• Downstate Mental Hygiene Associates

  • Public Health or Welfare Agency
  • Brooklyn, NY
  • NPI 1386678373
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1518989474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2043",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76099",
            "telephone_number": "817-778-0191",
            "fax_number": "817-241-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 E NORTHWEST HWY STE 400",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513302",
            "telephone_number": "817-778-0191",
            "fax_number": "817-421-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONANUGA",
        "first_name": "OMOTAYO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P7684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JELIL",
            "last_name": "ONANUGA",
            "middle_name": "OMOTAYO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen M. Ogg, DO
• Valencia Monita Oglesby, DO
• Olivia Wedel Counseling & Consulting, PLLC
• Morenike Naomi Salone Olorunnisomo, LPC-ASSOCIATE
• Omnicell Specialty Pharmacy Services, Inc.
• Oncology Pharmacy Services, Inc. (Texas Oncology Pharmacy Services - Grapevine)
• One Choice Physicians
• Meagan Oneil
• Vanessa Jean Ong, RBT
• Ononi Healthcare LLC

• Psychiatry Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.