Individual provider Active NPI

Omoruyi Ayiyi, FNP-C

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1881551158
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
232153 Issued in AZ
Practice address
4850 S 4TH Ave
Phoenix, AZ 85041-3180
Phone
(480) 286-0407
NPI assigned
Jan 7, 2026
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 232153 AZ Primary

Addresses

Primary practice location

4850 S 4TH Ave
Phoenix, AZ 85041-3180

Mailing address

4850 S 4TH Ave
Phoenix, AZ 85041-3180
Phone (480) 286-0407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260401002113 AZ Practitioner - Nurse Practitioner 6507341021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ternion Physician Group, PLLCGroup PAC ID 6709157589, 5 clinicians

Practice addresses (Care Compare)

4704 W Diana Ave
Glendale, AZ 85302-5125
Phone (623) 505-9880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
232153AZMDNurse Practitioner

Organizations & group practices 2

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": "1767744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1881551158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 S 4TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850413180",
            "telephone_number": "480-286-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 S 4TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850413180",
            "telephone_number": "480-286-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYIYI",
        "first_name": "OMORUYI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "232153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.