MRS. BUSURAT KIKELOMO OLADUNJOYE NP
NPI 1194890319
Nurse Practitioner - Family in Minnetonka, MN
About Mrs. Busurat Kikelomo Oladunjoye Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BUSURAT KIKELOMO OLADUNJOYE NP (NPI 1194890319) is an individual family provider in Minnetonka, Minnesota, licensed in Georgia (RN126090) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albany.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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 (PECOS)
Mrs. Busurat Kikelomo Oladunjoye Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Busurat Oladunjoye reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albany, GA 31707
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Phoebe Physician Group Inc
- 1,118 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55343 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.
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 Busurat Oladunjoye's NPI number?
The NPI number for Busurat Oladunjoye is 1194890319. It was assigned to this individual provider in the NPPES registry on November 22, 2006. The provider is also known as Mrs. Busurat Kikelomo Oladunjoye.
Where is Busurat Oladunjoye located?
Busurat Oladunjoye practices at 9900 Bren Rd E, Minnetonka, MN 55343. The listed phone number is (952) 936-1300.
What is Busurat Oladunjoye's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Busurat Oladunjoye enrolled in Medicare?
Yes. Busurat Oladunjoye is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Busurat Oladunjoye's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Busurat Oladunjoye reassigns Medicare benefits to Phoebe Gastroenterology Associates (Albany, GA). The 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 Busurat Oladunjoye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Busurat Oladunjoye was last updated on November 4, 2020. 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.
# Mrs. Busurat Kikelomo Oladunjoye, NP · NPI 1194890319
Family physician in Minnetonka, Minnesota. Individual provider, active in the CMS NPPES registry since November 22, 2006.
## Identity
- **NPI:** 1194890319 (Entity type: Individual)
- **Enumerated:** November 22, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN126090 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 9900 BREN RD E, Minnetonka, MN 55343-9664
- **Phone:** (952) 936-1300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Phoebe Gastroenterology Associates (NPI 1659627131, Albany, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 4, 2020
- **Other identifiers:** Medicaid 1194890319 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1194890319) · Data from the CMS NPPES public registry.