Omitogun and Associates PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

OMITOGUN AND ASSOCIATES PLLC

Practice address

12234 Shadow Creek Pkwy Ste 5104
Pearland, TX 77584-7334

Phone

(281) 942-8001

Fax

(281) 724-1919

NPI assigned

Jan 6, 2020

Organization subpart

No

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

Authorized official

Name

Tunde Omitogun, MDNPI 1386903037

Title

Owner

Phone

(713) 409-4090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tunde Olawale Omitogun, MD

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1386903037
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1992344030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775450862",
            "telephone_number": "281-942-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY STE 5104",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847334",
            "telephone_number": "281-942-8001",
            "fax_number": "281-724-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMITOGUN AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "OMITOGUN",
        "authorized_official_first_name": "TUNDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-409-4090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluremi Olatoro Olagoke
• Damary Olguin
• Vivian Olisa-Alexander, LPC
• Cleona Oliver
• Ludivina Saldivar Olivo, CSFA
• Adesola Omowanile
• Priscilia Onabhakere, PHARM.D
• Oncology Consultants, P. a.
• One Step Diagnostic VI, L.P.
• Oneal and Associates LLC

• Nephrology Physician in Pearland, TX
• Providers in Pearland, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.