MRS. LILY ADWOA ODUKOYA (PA) – Physician Assistant, NPI 1578755880

MRS. LILY ADWOA ODUKOYA (PA) is a healthcare provider. based in Conroe, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA05763 (TX). The NPI Number for MRS. LILY ADWOA ODUKOYA (PA) is 1578755880

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LILY ADWOA ODUKOYA (PA)
NPI
1578755880
Phone
(936) 539-4004
Address
605 S CONROE MEDICAL DR
Enumeration Date
10 August 2007
Last Update Date
19 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
3870658487
Professional Enrollment ID
I20090216000196
Address ID
TN370274692BR2000XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MRS. LILY ADWOA ODUKOYA (PA)

  • 605 S CONROE MEDICAL DR

    CONROE, TX 773044722

    Phone: (936) 539-4004

    Fax: (936) 539-3635

    Type: Mailing

  • South William Barnett Avenue, Cleveland, Liberty County, Texas, 77327, United States

    CLEVELAND, TX 773274542

    Phone: (281) 659-2355

    Fax: (281) 432-2893

    Type: Mailing

  • 7906 AUGUSTA CREEK CT

    SPRING, TX 773891701

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-02-16

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
I20090216000196IPhysician AssistantTXTBD

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 minutes2724$0
99203New patient office or other outpatient visit, 30-44 minutes2323$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
81002Urinalysis, manual test1313$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1212$0
View full utilization report →

Insurance plans in this area (ZIP 77304)

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Reviews

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Frequently asked questions

Can I use this page to confirm MRS. LILY ADWOA ODUKOYA (PA)'s NPI?
Yes. MRS. LILY ADWOA ODUKOYA (PA) is listed with NPI 1578755880 in the public NPI dataset.
Does the file indicate MRS. LILY ADWOA ODUKOYA (PA) is practicing under active NPI?
Directory data currently reports MRS. LILY ADWOA ODUKOYA (PA) as active.
What taxonomy line describes MRS. LILY ADWOA ODUKOYA (PA)?
For research purposes, treat MRS. LILY ADWOA ODUKOYA (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. LILY ADWOA ODUKOYA (PA) on a map?
Expect Conroe, Texas as a primary anchor for MRS. LILY ADWOA ODUKOYA (PA) unless the record lists multiple sites.
Why does MRS. LILY ADWOA ODUKOYA (PA) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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