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ABIODUN FATIMA BALOGUN MD
NPI 1356332845
Pediatrics in Farmington, ME

Active since November 02, 2005PECOS Enrolled
181 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938(207) 778-0482(207) 778-0133 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Abiodun Fatima Balogun Md NPPES

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

ABIODUN FATIMA BALOGUN MD (NPI 1356332845) is an individual pediatrics provider in Farmington, Maine, licensed in Maine (MD27622) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ada.

NPPES Registry Identity

NPI1356332845
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameABIODUN FATIMA BALOGUNCredential: MD
Location Address181 FRANKLIN HEALTH CMNSFarmington, ME 04938-6144
Mailing Address181 Franklin Health CmnsFarmington, ME 04938-6144 · (207) 778-0482 · Fax (207) 778-0133
Phone(207) 778-0482
Fax(207) 778-0133
Sole ProprietorYes
Enumeration DateNovember 2, 2005
Last NPPES UpdateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
✔ NPI 1356332845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in ME · MD27622✔ Licensed in MS · 19061✔ Licensed in GA · 054060✔ Licensed in OK · 31162
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
181 FRANKLIN HEALTH CMNS, Farmington, ME 04938
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Secondary Practice Location 1

Location 11921 Stonecipher BlvdAda, OK 74820 · Phone (580) 436-3980 · Fax (580) 421-6283

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abiodun Fatima Balogun 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 Billing Reassignment

Medicare enrollment records show Abiodun Balogun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Danville Physician Practices LLC
733 mi
Rural Health
2767 FRANKLIN TPKE
Danville, VA 24540
  • Reassigned Medicare billing, Virginia enrollment
  • 204 clinicians in this Medicare group
NPI 1548948359 (434) 835-0105

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 04938 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 20

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

MS. DALENE ELIZABETH SINSKIE LCSW
Social Worker (Clinical)
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-3326
ANFIN ERICKSON M.D.
Surgery
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-6031
ANTHONY MARTIN TOTH DO
Obstetrics & Gynecology
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 563-4700
TAYLOR LEIGH MUNSCH MD
Family Medicine
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-3326
AMY S DAVIS LCSW
Social Worker (Clinical)
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-0482
DR. ALISA M CLEARY DO
Family Medicine (Addiction Medicine)
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-4922
KELSEY CHARLENE CAMPBELL MD
Family Medicine
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-3326
DR. THOMAS M ROESCH MD
Obstetrics & Gynecology
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-6394

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 Abiodun Balogun's NPI number?

The NPI number for Abiodun Balogun is 1356332845. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Abiodun Balogun located?

Abiodun Balogun practices at 181 Franklin Health Cmns, Farmington, ME 04938. The listed phone number is (207) 778-0482.

What is Abiodun Balogun's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Abiodun Balogun enrolled in Medicare?

Yes. Abiodun Balogun is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Abiodun Balogun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abiodun Balogun reassigns Medicare benefits to Danville Physician Practices LLC (Danville, VA). The 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 Abiodun Balogun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abiodun Balogun accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Abiodun Balogun 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 Abiodun Balogun was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.