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TOLULOPE OSHIBA-FOWODE MD
NPI 1336730530
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since January 30, 2021PECOS Enrolled
82.38/100
CMS Quality Rating
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 624-4477 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2023, Jan 30, 2021 (2 updates tracked since 2021).

About Tolulope Oshiba-fowode Md NPPES

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

TOLULOPE OSHIBA-FOWODE MD (NPI 1336730530) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336730530
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTOLULOPE OSHIBA-FOWODECredential: MD
Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave, M136, 1st Floor, East Building 8950aMinneapolis, MN 55454
Phone(612) 624-4477
Sole ProprietorNo
Enumeration DateJanuary 30, 2021
Last NPPES UpdateMay 15, 20232 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
✔ NPI 1336730530 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.
2450 RIVERSIDE AVE, Minneapolis, MN 55454
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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)

Tolulope Oshiba-fowode 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

MICHELLE IRENE GRAY
Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. KATHLEEN F SADAK MD
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-6402
DR. ADMATHA MUTHYALA WINFRED MD
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
KELLY SCHELLER WILLIAMS
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-3216
MRS. MARY SUSAN CLIPP CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-3100
DANIEL TESFAYE KEBED MD
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MS. CHELSEA ANJELICA MIELKE PA-C
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MRS. JESSICA LYNN MCADAM
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8383

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 Tolulope Oshiba-fowode's NPI number?

The NPI number for Tolulope Oshiba-fowode is 1336730530. It was assigned to this individual provider in the NPPES registry on January 30, 2021.

Where is Tolulope Oshiba-fowode located?

Tolulope Oshiba-fowode practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 624-4477.

What is Tolulope Oshiba-fowode's specialty?

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

Is Tolulope Oshiba-fowode enrolled in Medicare?

Yes. Tolulope Oshiba-fowode is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tolulope Oshiba-fowode was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.