DR. TALIAT ABIODUN FAWOLE M.D
NPI 1255795886
Psychiatry & Neurology - Psychiatry in Elmhurst, NY

Q: What is Taliat Fawole's NPI number?

The NPI number for Taliat Fawole is 1255795886. It was assigned to this individual provider in the NPPES registry on April 9, 2016.

Q: What is Taliat Fawole's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Taliat Fawole was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 09, 2016PECOS EnrolledAccepts Medicare Assignment

7901 BROADWAY, ELMHURST, NY 11373(718) 334-3542 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2026, Nov 19, 2025, Nov 12, 2025 and 1 more (4 updates tracked since 2021).

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About Dr. Taliat Abiodun Fawole M.d NPPES

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

DR. TALIAT ABIODUN FAWOLE M.D (NPI 1255795886) is an individual psychiatry provider in Elmhurst, New York, licensed in Nebraska (33663) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1255795886

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. TALIAT ABIODUN FAWOLECredential: M.D

Location Address7901 BROADWAYElmhurst, NY 11373-1329

Mailing Address7901 BroadwayElmhurst, NY 11373-1329 · (718) 334-3542

Phone(718) 334-3542

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateApril 9, 2016

Last NPPES UpdateApril 24, 20264 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1255795886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in NE · 33663✔ Licensed in TX · FF6061092✔ Licensed in IN · FF6066383

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 01097670A (IN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License FF6066383 (IN), W0805 (TX), 33663 (NE)

7901 BROADWAY, Elmhurst, NY 11373

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Secondary Practice Locations 2

Location 11701 S Creasy LNLafayette, IN 47905-4972 · Phone (765) 502-4866 · Fax (765) 502-4401

Location 26565 Fannin St Ste 300Houston, TX 77030-2703 · Phone (832) 667-5301

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Dr. Taliat Abiodun Fawole M.d 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 ID2961740063

PECOS Enrollment IDI20210714002477

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 11373 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

$201.98 typical visit price

range $67.00 – $201.98

Typical copayment $50.49 (range $16.75 – $50.49)

Most-billed visit code 99205

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

Most-billed visit code 99213

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.

MR. PAUL ADRIAN POWELL P.A

Physician Assistant