JADESOLA I OMOYENI (M.D) – Gastroenterology Physician, NPI 1043567423

JADESOLA I OMOYENI (M.D) is a healthcare provider. based in San antonio, Texas. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D. They hold a License No. R6776 (TX). The NPI Number for JADESOLA I OMOYENI (M.D) is 1043567423

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
JADESOLA I OMOYENI (M.D)
NPI
1043567423
Phone
(210) 614-1234
Address
1804 NE LOOP 410 STE 101
Enumeration Date
5 August 2012
Last Update Date
7 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2106141234
Graduation Year
2007 (19 years ago)
PAC ID
1850656521
Group Practice PAC ID
3375531379
Professional Enrollment ID
I20180530000815
Address ID
TX782334115LI12850RDXX300
Telehealth
Yes

Contacts

Other Endpoint
www.gastroconsa.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

1,498 GASTROENTEROLOGY in TX

Provider Addresses for JADESOLA I OMOYENI (M.D)

  • 1804 NE LOOP 410 STE 101

    SAN ANTONIO, TX 782175211

    Phone: (210) 614-1234

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 205 Open Payments records for all available years, with a total value of $3,844.

Total Amount is formed as General ($3,844) + Research ($0) + Ownership ($0) = $3,844.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($1,113).

Total Amount

$3,844

General + Research + Ownership

Payments

205

Total payment records

General Amount

$3,844

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-12-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2018-05-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180530000815IGastroenterologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes141111$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare9290$0
99204New patient office or other outpatient visit, 45-59 minutes9191$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope8379$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4328$0
View full utilization report →

Insurance plans in this area (ZIP 78217)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375531379View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineTX
Gastroenterology, Internal MedicineTX
Nurse PractitionerTX
Internal Medicine, GastroenterologyTX
G A S T R O E N T E R O L O G YTX
Gastroenterology, Internal MedicineTX
G A S T R O E N T E R O L O G YTX
G A S T R O E N T E R O L O G YTX
G A S T R O E N T E R O L O G YLA
Gastroenterology, Internal MedicineTX

Reviews

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Frequently asked questions

What federal number belongs to JADESOLA I OMOYENI (M.D)?
The federal identifier for JADESOLA I OMOYENI (M.D) is NPI 1043567423.
Is JADESOLA I OMOYENI (M.D)'s NPI currently valid?
The extract we use shows JADESOLA I OMOYENI (M.D) as active.
What does JADESOLA I OMOYENI (M.D) treat or focus on?
Patients typically see JADESOLA I OMOYENI (M.D) under the specialty Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is JADESOLA I OMOYENI (M.D)'s primary listing?
We display San Antonio, Texas because that is what the record indicates for JADESOLA I OMOYENI (M.D).
How can I contact JADESOLA I OMOYENI (M.D)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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