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DR. OLUWATOBILOBA FREANCES FASORANTI-SOWEMIMO MD
NPI 1255180204
Student in an Organized Health Care Education/Training Program in Lafayette, IN

Active since May 14, 2024PECOS Enrolled
5177 MCCARTY LN, LAFAYETTE, IN 47905(765) 838-7101 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Oluwatobiloba Freances Fasoranti-sowemimo Md NPPES

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

DR. OLUWATOBILOBA FREANCES FASORANTI-SOWEMIMO MD (NPI 1255180204) is an individual student in an organized health care education/training program in Lafayette, Indiana and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255180204
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. OLUWATOBILOBA FREANCES FASORANTI-SOWEMIMOCredential: MD
Location Address5177 MCCARTY LNLafayette, IN 47905-8764
Mailing Address5177 Mccarty LnLafayette, IN 47905-8764 · (765) 838-7101
Phone(765) 838-7101
Sole ProprietorNo
Enumeration DateMay 14, 2024
NPPES CertifiedMay 14, 2024
✔ NPI 1255180204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5177 MCCARTY LN, Lafayette, IN 47905
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Oluwatobiloba Freances Fasoranti-sowemimo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. SIDNEY D BRUCE MD
Surgery
5177 MCCARTY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-8000
ORTHOPAEDICS-INDIANAPOLIS, INC
Orthopaedic Surgery
5177 MCCARTY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-8700
DR. BRIANNA LUCINDA LEACHMAN HAAB MD
Obstetrics & Gynecology
5177 MCCARTY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-8000
AMY ELIZABETH SPEAR PA-C
Physician Assistant
5177 MCCARTY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-8100
STEVEN RUDOLF STEINHUBL MD
Internal Medicine (Cardiovascular Disease)
5177 MCCARTY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-8000
KIMBERLY GANGWER
Specialist/Technologist, Other (Surgical Assistant)
5177 MCCARTY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-8000
MARIA C MOLTER NP
Nurse Practitioner (Women's Health)
5177 MCCARTY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-8000
MRS. BRITTANY CHANA'IS KENDRICK CNM
Advanced Practice Midwife
5177 MCCARTY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-8000

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 Oluwatobiloba Fasoranti-sowemimo's NPI number?

The NPI number for Oluwatobiloba Fasoranti-sowemimo is 1255180204. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Oluwatobiloba Fasoranti-sowemimo located?

Oluwatobiloba Fasoranti-sowemimo practices at 5177 Mccarty Ln, Lafayette, IN 47905. The listed phone number is (765) 838-7101.

What is Oluwatobiloba Fasoranti-sowemimo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Oluwatobiloba Fasoranti-sowemimo enrolled in Medicare?

Yes. Oluwatobiloba Fasoranti-sowemimo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oluwatobiloba Fasoranti-sowemimo was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.