Individual provider Active NPI

Samuel Omoruyi

  • Patient Transport Registered Respiratory Therapist
  • Missouri City, TX
National Provider Identifier
1568268282
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Patient Transport Registered Respiratory TherapistTaxonomy code 2279P4000X
Practice address
1411 Village Garden Dr
Missouri City, TX 77459-1571
Phone
(816) 694-4605
NPI assigned
Feb 22, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Patient Transport Registered Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2279P4000X Primary

Addresses

Primary practice location

1411 Village Garden Dr
Missouri City, TX 77459-1571

Mailing address

1411 Village Garden Dr
Missouri City, TX 77459-1571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1568268282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 VILLAGE GARDEN DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 VILLAGE GARDEN DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591571",
            "telephone_number": "816-694-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMORUYI",
        "first_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P4000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Registered, Patient Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.