Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Omolola Ajoke Omotoso, MD

Individual provider Internal Medicine Physician · NPI 1154514529

Dr. Omolola Ajoke Omotoso, MD is a Hospitalist in Moncks Corner, South Carolina. Qualified in 1999, 27 years ago. Practices with Mercy Clinic Joplin LLC, a 295-clinician group and works from 3 locations. Licensed in Georgia, Missouri, Pennsylvania and South Carolina.

Years since qualifying
27
Licensed in
GA, MO, PA, SC
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

110 Executive Pkwy
Moncks Corner, SC 29461
Phone: (843) 899-9099
Fax: (843) 899-9091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1101 W Liberty St, Farmington, MO 63640-1921 — (573) 705-1272
  • 3015 N Ballas Rd, Saint Louis, MO 63131-2329 — (314) 996-5772

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 063694 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT185765 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 31061 (SC)
Hospitalist Physician Taxonomy 208M00000X · Licence 2016004893 (MO)

Record details

NPI number1154514529
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 20, 2007
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Mercy Clinic Joplin Llc — 295 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients243
Services billed 725 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Mercy Clinic Joplin LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 295 clinicians in the practice; 12 are shown here.

Other providers in Moncks Corner