Individual provider Active NPI

Monisola Oluwakemi Joann Iyamah, MD

  • Pediatrics Physician
  • Mount Pleasant, TX
National Provider Identifier
1841819950
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U5331 Issued in TX
Practice address
2001 N Jefferson Ave Ste 300
Mt Pleasant, TX 75455-2375
Phone
(903) 572-9823
Fax
(903) 572-4812
NPI assigned
Apr 9, 2020
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X U5331 TX Primary
Pediatrics Physician 208000000X 01090785A IN

Addresses

Primary practice location

2001 N Jefferson Ave Ste 300
Mt Pleasant, TX 75455-2375

Mailing address

2001 N Jefferson Ave Ste 300
Mt Pleasant, TX 75455-2375
Phone (903) 572-9823

Other identifiers 1

IdentifierTypeStateIssuer
517288401MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251003001620 TX Practitioner - Pediatric Medicine 4183046550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Indiana University School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2001 N Jefferson Ave
Suite 300
Mount Pleasant, TX 75455-2375

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Pediatric Clinic, P.a. CurrentSince Jul 18, 2025 Accepting new patients
The Pediatric Clinic, P.a. Pediatrics CurrentSince Jul 18, 2025 Accepting new patients
Titus County Hospital District Past Accepting new patients

Locations

2001 N Jefferson Ave
Ste 300
Mt Pleasant, TX 75455
Phone (903) 572-9823

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.

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1841819950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE STE 300",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552375",
            "telephone_number": "903-572-9823",
            "fax_number": "903-572-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE STE 300",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552375",
            "telephone_number": "903-572-9823",
            "fax_number": "903-572-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYAMAH",
        "first_name": "MONISOLA",
        "middle_name": "OLUWAKEMI JOANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U5331",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01090785A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "517288401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.