PATHWAY VIRTU-HEALTH
NPI 1073134284
Nurse Practitioner - Family in Shoreview, MN
About Pathway Virtu-health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATHWAY VIRTU-HEALTH (NPI 1073134284) is a healthcare organization registered as a family in Shoreview, Minnesota and active in the NPI registry since April 2020. The organization lists Temitope Abiola Dawodu, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pathway Virtu-health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pathway Virtu-Health, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pathway Virtu-Health's NPI number?
The NPI number for Pathway Virtu-Health is 1073134284. It was assigned to this organization in the NPPES registry on April 28, 2020.
Where is Pathway Virtu-Health located?
Pathway Virtu-Health is located at 4570 Churchill St Ste 140, Shoreview, MN 55126. The listed phone number is (612) 517-1293.
What is Pathway Virtu-Health's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pathway Virtu-Health enrolled in Medicare?
Yes. Pathway Virtu-Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pathway Virtu-Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pathway Virtu-Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pathway Virtu-Health accept?
Health plans from HealthPartners list Pathway Virtu-Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pathway Virtu-Health was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pathway Virtu-Health · NPI 1073134284
Family organization in Shoreview, Minnesota. Organization record, active in the CMS NPPES registry since April 28, 2020.
## Identity
- **NPI:** 1073134284 (Entity type: Organization)
- **Enumerated:** April 28, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Temitope Dawodu, PROVIDER
## Practice location
- **Address:** 4570 CHURCHILL ST STE 140, Shoreview, MN 55126-2274
- **Phone:** (612) 517-1293 · **Fax:** (612) 349-2790
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1073134284) · Data from the CMS NPPES public registry.