Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Osawaru Jude Omoruyi, MD

Individual provider Family Medicine Physician · NPI 1396961967

Dr. Osawaru Jude Omoruyi, MD is a Family Practice in Louisville, Kentucky. Qualified in 1998, 28 years ago. Practices with Pearl Medical Practice, PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Indiana, Kentucky and Ohio.

Years since qualifying
28
Licensed in
IN, KY, OH
In the registry since
2007
Specialties on file
3
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

2202 Buechel Ave Ste 103
Louisville, KY 40218-2672
Phone: (502) 456-0494
Fax: (502) 456-0496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 42023 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 35.088666 (OH)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 01066757A (IN)

Record details

NPI number1396961967
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2007
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Pearl Medical Practice, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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