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MOBOLAJI FOWOSE MD
NPI 1194353847
Emergency Medicine in Reston, VA

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
1850 TOWN CENTER PKWY, RESTON, VA 20190(703) 689-9000 Get Directions Write a Review

NPPES record last updated: March 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2025, Apr 8, 2024, Mar 30, 2020 (3 updates tracked since 2020).

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

NPI1194353847
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMOBOLAJI FOWOSECredential: MD
Location Address1850 TOWN CENTER PKWYReston, VA 20190-3204
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238
Phone(703) 689-9000
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateMarch 30, 20253 updates tracked since enumeration
NPPES CertifiedMarch 30, 2025
✔ NPI 1194353847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0101280819
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1850 TOWN CENTER PKWY, Reston, VA 20190
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4587196340
PECOS Enrollment IDI20241112000092, I20260105000588
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
53 services52 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
27 services27 patients

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, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490020
Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County
Emergency services

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Henrico Doctors' Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490118
Location1602 Skipwith RoadRichmond, VA 23229 · Henrico County
Emergency services

Physician 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.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MEDSTAR MEDICAL GROUP II LLC
General Practice
1850 TOWN CENTER PKWY
RESTON, VA 20190
Fairfax County (202) 877-7685
DR. DAVID E KARDON MD
Pathology (Anatomic Pathology & Clinical Pathology)
1850 TOWN CENTER PKWY
RESTON, VA 20190
Fairfax County (703) 689-9093
DR. ANDREW HARRIS GORDON M.D., PH.D.
Physical Medicine & Rehabilitation
1850 TOWN CENTER PKWY
RESTON, VA 20190
Fairfax County (703) 949-9660
BERNARD JAMES GAMIAO
Occupational Therapist
1850 TOWN CENTER PKWY
RESTON, VA 20190
Fairfax County (703) 689-9000
SEON H LEE MD
Emergency Medicine
1850 TOWN CENTER PKWY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Fairfax County (703) 689-9037
MRS. DIANE D ZHAO MD
Physical Medicine & Rehabilitation
1850 TOWN CENTER PKWY
RESTON, VA 20190
Fairfax County (703) 689-9000
DR. JAMES L TORRENS MD
Anesthesiology
1850 TOWN CENTER PKWY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Fairfax County (703) 471-0919
JOHN M YOUNG CRNA
Nurse Anesthetist, Certified Registered
1850 TOWN CENTER PKWY
RESTON, VA 20190
Fairfax County (703) 471-0919

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.

What insurance does Mobolaji Fowose accept?

Health plans from Blue Cross and Blue Shield of Texas 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 16 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.