Individual provider

Osayande Izeiyamu, MD

General Practice Physician Family Medicine Physician Medicare enrolled

Osayande Izeiyamu, MD is a General Practice Physician in Lake City, FL, registered under NPI 1255698619. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 194 SW WALL TER, Lake City, FL 32025. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

194 SW WALL TER, Lake City, FL 32025 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ACN634 FL General Practice Physician primary
BP10043366 TX Family Medicine Physician

Licences are recorded in 2 states: FL, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - General Practice
PAC ID
9739409483

Medicare enrolment is recorded as approved under the provider type Practitioner - General Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Florida and Texas. The practice address on file is in Lake City, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida practice address
Licence
ACN634
Specialty
General Practice Physician
Verify with the FL board →
TX Texas
Licence
BP10043366
Specialty
Family Medicine Physician
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What General Practice covers

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
Allopathic & Osteopathic Physicians General Practice

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208D00000X General Practice Physician ACN634 FL primary
207Q00000X Family Medicine Physician BP10043366 TX

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1255698619 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 23, 2012
Last updatedJan 20, 2016
StatusActive
Sole proprietorYes
CredentialMD
Practice address 194 SW WALL TER
Lake City, FL 32025
(386) 719-9227
Fax (386) 719-9488
Other identifiers 014632400 (FL)
This record was last updated on Jan 20, 2016, roughly 10 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1255698619 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 5 5 6 9 8 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 1 5 3 9 7 6 2

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1255698619?
NPI 1255698619 is the National Provider Identifier assigned to Osayande Izeiyamu, MD in Lake City, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice Physician cover?
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
How do I contact Osayande Izeiyamu, MD?
The phone number on file with NPPES is (386) 719-9227, last updated Jan 20, 2016. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Osayande Izeiyamu, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1255698619 a valid number?
Yes. 1255698619 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.