TAIYE OLUYOMI POPOOLA (MD PHD) – Sleep Medicine (Psychiatry & Neurology) Physician, NPI 1790277374
Sleep Medicine (Psychiatry & Neurology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
84 SLEEP MEDICINE in MO
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Provider Addresses for TAIYE OLUYOMI POPOOLA (MD PHD)
67, Hospital Drive, Bloomsburg, Columbia County, Pennsylvania, 17815, United States
COLUMBIA, MO 652121000
Phone: (573) 882-8907
Fax: (573) 884-1070
Type: Mailing
450 CENTURY PKWY STE 250
ALLEN, TX 750138136
Phone: (972) 521-6191
Fax: (972) 252-7580
Type: Location
9330 Lyndon B Johnson Fwy Ste 900
Dallas, TX 752433443
Phone: (972) 521-6191
Fax: (972) 252-7580
Type: Location
1800 COMMUNITY
CLINTON, MO 647358804
Phone:
Fax: (573) 884-1070
Type: Mailing
1032 CROSSWINDS CT
WENTZVILLE, MO 633854836
Phone: (844) 853-8937
Fax: (573) 884-1070
Type: Location
401 CENTURY PKWY UNIT 2180
ALLEN, TX 750138043
Phone: (972) 521-6191
Fax: (972) 252-7580
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Itamar Medical Inc ($100).
Total Amount
$100
General + Research + Ownership
Payments
3
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Itamar Medical Inc | $100 |
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: 2023-08-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20211206000716 | I | Psychiatry | MO | TBD |
| I20230712002359 | I | Psychiatry | TX | TBD |
| I20230803003723 | I | Sleep Medicine | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Addiction Medicine, Psychiatry | TX |
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