DR. OLUFEMI O BANJOKO MD
NPI 1073590519
Internal Medicine - Geriatric Medicine in St Louis Park, MN
About Dr. Olufemi O Banjoko Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. OLUFEMI O BANJOKO MD (NPI 1073590519) is an individual geriatric medicine provider in St Louis Park, Minnesota, licensed in Minnesota (45922) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Olufemi O Banjoko Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Olufemi Banjoko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hennepin County Medical Center
Acute Care Hospitals · Minneapolis, MNPark Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNHutchinson Health
Acute Care Hospitals · Hutchinson, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST LOUIS PARK, MN 55416
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 Olufemi Banjoko's NPI number?
The NPI number for Olufemi Banjoko is 1073590519. It was assigned to this individual provider in the NPPES registry on December 27, 2005.
Where is Olufemi Banjoko located?
Olufemi Banjoko practices at 3850 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-5041.
What is Olufemi Banjoko's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Olufemi Banjoko enrolled in Medicare?
Yes. Olufemi Banjoko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Olufemi Banjoko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olufemi Banjoko reassigns Medicare benefits to 2 organizations: Park Nicollet Methodist Hospital (St Louis Park, MN) and Group Health, Inc. (St Louis Park, MN). Each 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 Olufemi Banjoko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Olufemi Banjoko affiliated with any hospitals?
According to CMS data, Olufemi Banjoko is affiliated with Hennepin County Medical Center, Park Nicollet Methodist Hospital and Hutchinson Health.
When was this NPI record last updated?
The NPPES record for Olufemi Banjoko was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Olufemi O Banjoko, MD · NPI 1073590519
Geriatric Medicine physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since December 27, 2005.
## Identity
- **NPI:** 1073590519 (Entity type: Individual)
- **Enumerated:** December 27, 2005
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **State license:** 45922 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3850 PARK NICOLLET BLVD, St Louis Park, MN 55416-2527
- **Phone:** (952) 993-5041
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN); Group Health, Inc. (NPI 1053466128, St Louis Park, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** June 17, 2021
- **Other identifiers:** Medicaid 948180000 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1073590519) · Data from the CMS NPPES public registry.