MOBOLAJI FOWOSE MD
NPI 1194353847
Emergency Medicine in Reston, VA
About Mobolaji Fowose Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOBOLAJI FOWOSE MD (NPI 1194353847) is an individual emergency medicine provider in Reston, Virginia, licensed in Virginia (0101280819) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and is a graduate of Saint Louis University School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mobolaji Fowose 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
6Medicare enrollment records show Mobolaji Fowose reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Reston, VA 20190
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Also billed through NPI 1376917070 (Virginia)
- 1,150 clinicians in this Medicare group
Everett, PA 15537
- Reassigned Medicare billing, Pennsylvania enrollment
- 80 clinicians in this Medicare group
Altoona, PA 16601
- Reassigned Medicare billing, Pennsylvania enrollment
- 291 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, North Carolina and Virginia enrollments
- 557 clinicians in this Medicare group
Longview, TX 75601
- Reassigned Medicare billing, Texas enrollment
- 272 clinicians in this Medicare group
Killeen, TX 76549
- Reassigned Medicare billing, Texas enrollment
- 387 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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Good Shepherd Medical Center
Acute Care Hospitals · Longview, TXShannon Medical Center
Acute Care Hospitals · San Angelo, TXJohn Randolph Medical Center
Acute Care Hospitals · Hopewell, VAReston Hospital Center
Acute Care Hospitals · Reston, VAHenrico Doctors' Hospital
Acute Care Hospitals · Richmond, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20190 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.
RESTON, VA 20190
RESTON, VA 20190
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 Mobolaji Fowose's NPI number?
The NPI number for Mobolaji Fowose is 1194353847. It was assigned to this individual provider in the NPPES registry on March 30, 2020.
Where is Mobolaji Fowose located?
Mobolaji Fowose practices at 1850 Town Center Pkwy, Reston, VA 20190. The listed phone number is (703) 689-9000.
What is Mobolaji Fowose's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mobolaji Fowose enrolled in Medicare?
Yes. Mobolaji Fowose 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 Mobolaji Fowose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mobolaji Fowose reassigns Medicare benefits to 6 organizations: Emergency Medicine Associates P.A., P.C. (Reston, VA), Upmc Bedford Memorial (Everett, PA), Upmc Altoona (Altoona, PA), Emergency Coverage, LLC (Newport, TN), Northeast Texas Emergency Physicians, PLLC (Longview, TX) and 1 more organization, listed in the Medicare section above. 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 Mobolaji Fowose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mobolaji Fowose accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Mobolaji Fowose 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.
Is Mobolaji Fowose affiliated with any hospitals?
According to CMS data, Mobolaji Fowose is affiliated with Christus Good Shepherd Medical Center, Shannon Medical Center, John Randolph Medical Center, Reston Hospital Center and Henrico Doctors' Hospital.
When was this NPI record last updated?
The NPPES record for Mobolaji Fowose was last updated on March 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Mobolaji Fowose, MD · NPI 1194353847
Emergency Medicine physician in Reston, Virginia. Individual provider, active in the CMS NPPES registry since March 30, 2020.
## Identity
- **NPI:** 1194353847 (Entity type: Individual)
- **Enumerated:** March 30, 2020
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 0101280819 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1850 TOWN CENTER PKWY, Reston, VA 20190-3204
- **Phone:** (703) 689-9000
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Associates P.A., P.C. (NPI 1932064268, Reston, VA); Upmc Bedford Memorial (NPI 1184772113, Everett, PA); Upmc Altoona (NPI 1497831655, Altoona, PA); Emergency Coverage, LLC (NPI 1427005008, Newport, TN); Northeast Texas Emergency Physicians, PLLC (NPI 1114607611, Longview, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Saint Louis University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** March 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194353847) · Data from the CMS NPPES public registry.