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: August 09, 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
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.
17489 DODD BLVD, Lakeville, MN 55044

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

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

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.

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.

Physician Assistant
17489 DODD BLVD
LAKEVILLE, MN 55044
Physician Assistant
17489 DODD BLVD
LAKEVILLE, MN 55044
Family Medicine
17489 DODD BLVD
LAKEVILLE, MN 55044
Social Worker (Clinical)
17489 DODD BLVD
LAKEVILLE, MN 55044
Psychiatry & Neurology (Psychiatry)
17489 DODD BLVD
LAKEVILLE, MN 55044
Family Medicine
17489 DODD BLVD
LAKEVILLE, MN 55044
Physician Assistant
17489 DODD BLVD
LAKEVILLE, MN 55044
Psychologist
17489 DODD BLVD
LAKEVILLE, MN 55044

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.

What insurance does Eneyew Tilahun accept?

Health plans from HealthPartners and Medica 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 14 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.