DR. OSAWARU JUDE OMORUYI (M.D) – Family Medicine Physician, NPI 1396961967
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
45 GERIATRIC MEDICINE in KY
Provider Addresses for DR. OSAWARU JUDE OMORUYI (M.D)
6801 DIXIE HWY
SUITE 130
LOUISVILLE, KY 402583913
Phone: (502) 367-3360
Fax: (502) 367-3365
Type: Mailing
1850 BLUEGRASS AVE
LOUISVILLE, KY 402151161
Phone: (502) 367-3360
Fax: (502) 367-3365
Type: Location
2202 BUECHEL AVE
STE 105
LOUISVILLE, KY 402182672
Phone: (502) 367-3360
Fax: (502) 367-3365
Type: Location
2202 BUECHEL AVE STE 103
LOUISVILLE, KY 402182672
Phone: (502) 456-0494
Fax: (502) 456-0496
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $134.
Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Novo Nordisk Inc ($120).
Total Amount
$134
General + Research + Ownership
Payments
2
Total payment records
General Amount
$134
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $120 |
| Siemens Medical Solutions USA, Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-01-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070822000758 | I | Family Practice | OH | TBD |
| I20090325000174 | I | Family Practice | KY | TBD |
| I20090728000749 | I | Geriatric Medicine | IN | TBD |
| I20220115000118 | I | Family Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 2,220 | 517 | $0 |
| 99497 | Advance care planning, first 30 minutes | 387 | 312 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 231 | 190 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 108 | 97 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 62 | 59 | $0 |
Insurance plans in this area (ZIP 40258)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | TN | |
| - | IN | |
| Nurse Practitioner | AR | |
| - | KY | |
| - | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | KY |
Reviews
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