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ENEYEW TILAHUN MD
NPI 1245818848
Family Medicine in Lakeville, MN

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment
17489 DODD BLVD, LAKEVILLE, MN 55044(952) 428-1020(952) 428-1025 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2025, Mar 12, 2025, Jan 8, 2025 and 1 more (4 updates tracked since 2021).

About Eneyew Tilahun Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENEYEW TILAHUN MD (NPI 1245818848) is an individual family medicine provider in Lakeville, Minnesota, licensed in Minnesota (79207) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dayton, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245818848
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameENEYEW TILAHUNCredential: MD
Location Address17489 DODD BLVDLakeville, MN 55044-6506
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Phone(952) 428-1020
Fax(952) 428-1025
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 1, 2021
Last NPPES UpdateMay 28, 20254 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1245818848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 79207
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
17489 DODD BLVD, Lakeville, MN 55044
Open in Google Maps ↗

Secondary Practice Location 1

Location 12261 Philadelphia Dr Ste 301Dayton, OH 45406-1814 · Phone (937) 277-7249 · Fax (937) 277-7249

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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

Eneyew Tilahun 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 ID5294144077
PECOS Enrollment IDI20250418001834
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Eneyew Tilahun reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allina Health System
Same address
Family Medicine
17489 DODD BLVD
Lakeville, MN 55044
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,609 clinicians in this Medicare group
NPI 1407546872 (952) 428-1020
Fairview Clinics
1.8 mi
Primary Care
15650 CEDAR AVE
Apple Valley, MN 55124
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
NPI 1649462508 (952) 997-4100

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 55044 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARA MICHELLE WYLEY
Physician Assistant
17489 DODD BLVD
LAKEVILLE, MN 55044
Dakota County (952) 428-1020
SYDNEY O'NEAL PA-C
Physician Assistant
17489 DODD BLVD
LAKEVILLE, MN 55044
Dakota County (952) 428-1020
DR. TIFFANY MAE MACDONALD MD
Family Medicine
17489 DODD BLVD
LAKEVILLE, MN 55044
Dakota County (952) 428-1020
NAOMI DRENK LICSW
Social Worker (Clinical)
17489 DODD BLVD
LAKEVILLE, MN 55044
Dakota County (952) 428-1020
DR. CHRISTINE PHILIPPE MEGALY MD
Psychiatry & Neurology (Psychiatry)
17489 DODD BLVD
LAKEVILLE, MN 55044
Dakota County (952) 428-1020
ALLINA HEALTH SYSTEM
Family Medicine
17489 DODD BLVD
LAKEVILLE, MN 55044
Dakota County (952) 428-1020
NICOLE POGANSKI PA-C
Physician Assistant
17489 DODD BLVD
LAKEVILLE, MN 55044
Dakota County (952) 428-1020
DR. BRIAN HOWARD ROSCOE PSYD LP
Psychologist
17489 DODD BLVD
LAKEVILLE, MN 55044
Dakota County (952) 428-1020

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 Eneyew Tilahun's NPI number?

The NPI number for Eneyew Tilahun is 1245818848. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Eneyew Tilahun located?

Eneyew Tilahun practices at 17489 Dodd Blvd, Lakeville, MN 55044. The listed phone number is (952) 428-1020.

What is Eneyew Tilahun's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eneyew Tilahun enrolled in Medicare?

Yes. Eneyew Tilahun 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 Eneyew Tilahun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eneyew Tilahun reassigns Medicare benefits to 2 organizations: Allina Health System (Lakeville, MN) and Fairview Clinics (Apple Valley, 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 Eneyew Tilahun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eneyew Tilahun accept?

Health plans from Sanford Health Plan list Eneyew Tilahun 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 Eneyew Tilahun was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.