DR. BISOLA SARAH OMOBA MD
NPI 1457921843
Family Medicine in Woodbury, MN
About Dr. Bisola Sarah Omoba Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BISOLA SARAH OMOBA MD (NPI 1457921843) is an individual family medicine provider in Woodbury, Minnesota, licensed in South Dakota (18245) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Sanford Chamberlain Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Bisola Sarah Omoba 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.
Medicare Billing Reassignments
3Medicare enrollment records show Bisola Omoba reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Arcadia, WI 54612
- Reassigned Medicare billing, Wisconsin enrollment
- 928 clinicians in this Medicare group
Canby, MN 56220
- Reassigned Medicare billing, South Dakota enrollment
- Also billed through NPI 1134140825 (South Dakota)
- 422 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Chamberlain Medical Center
Critical Access Hospitals · Chamberlain, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Bisola Omoba's NPI number?
The NPI number for Bisola Omoba is 1457921843. It was assigned to this individual provider in the NPPES registry on June 28, 2021.
Where is Bisola Omoba located?
Bisola Omoba practices at 1825 Woodwinds Dr, Woodbury, MN 55125. The listed phone number is (651) 232-6700.
What is Bisola Omoba's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Bisola Omoba enrolled in Medicare?
Yes. Bisola Omoba 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.
Which organizations bill Medicare for Bisola Omoba's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bisola Omoba reassigns Medicare benefits to 3 organizations: Healtheast Medical Research Institute (Woodbury, MN), Gundersen Clinic Ltd (Arcadia, WI) and Sanford Health Network (Canby, MN). Each 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 Bisola Omoba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bisola Omoba accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Sanford Health Plan and 2 other insurers list Bisola Omoba 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.
Is Bisola Omoba affiliated with any hospitals?
According to CMS data, Bisola Omoba is affiliated with Sanford Chamberlain Medical Center.
When was this NPI record last updated?
The NPPES record for Bisola Omoba was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Bisola Sarah Omoba, MD · NPI 1457921843
Family Medicine physician in Woodbury, Minnesota. Individual provider, active in the CMS NPPES registry since June 28, 2021.
## Identity
- **NPI:** 1457921843 (Entity type: Individual)
- **Enumerated:** June 28, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 18245 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1825 WOODWINDS DR, Woodbury, MN 55125-2202
- **Phone:** (651) 232-6700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Healtheast Medical Research Institute (NPI 1831145705, Woodbury, MN); Gundersen Clinic Ltd (NPI 1912446493, Arcadia, WI); Sanford Health Network (NPI 1437243607, Canby, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1457921843) · Data from the CMS NPPES public registry.