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MICHAEL OLUSEGUN ESAN M.D, PH. D
NPI 1538504139
Pediatrics - Pediatric Emergency Medicine in Minneapolis, MN

Active since May 08, 2013PECOS Enrolled
2450 RIVERSIDE AVE, DEPARTMENT OF PEDIATRICS, M-136 RIVERSIDE EAST BUILDING, MINNEAPOLIS, MN 55454(612) 624-4477(612) 626-7042 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Michael Olusegun Esan M.d, Ph. D NPPES

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

MICHAEL OLUSEGUN ESAN M.D, PH. D (NPI 1538504139) is an individual pediatric emergency medicine provider in Minneapolis, Minnesota, licensed in Minnesota (60204) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538504139
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameMICHAEL OLUSEGUN ESANCredential: M.D, PH. D
Location Address2450 RIVERSIDE AVE, DEPARTMENT OF PEDIATRICS, M-136 RIVERSIDE EAST BUILDINGMinneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave, Department Of Pediatrics, M-136 Riverside East BuildingMinneapolis, MN 55454-1450 · (612) 624-4477 · Fax (612) 626-7042
Phone(612) 624-4477
Fax(612) 626-7042
Sole ProprietorYes
Enumeration DateMay 8, 2013
Last NPPES UpdateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1538504139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MN · 60204
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2450 RIVERSIDE AVE, Minneapolis, MN 55454
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Olusegun Esan M.d, Ph. D 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 Reassignments

2

Medicare enrollment records show Michael Esan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Health Services
Same address
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1316008212 (612) 273-7838
Fairview Clinics
0.1 mi
Clinic/Center
606 24TH AVE S, STE 602
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
NPI 1043516867 (612) 273-6099

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Michael Esan's NPI number?

The NPI number for Michael Esan is 1538504139. It was assigned to this individual provider in the NPPES registry on May 8, 2013.

Where is Michael Esan located?

Michael Esan practices at 2450 Riverside Ave Department Of Pediatrics, M-136 Riverside East Building, Minneapolis, MN 55454. The listed phone number is (612) 624-4477.

What is Michael Esan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Michael Esan enrolled in Medicare?

Yes. Michael Esan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Esan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Esan reassigns Medicare benefits to 2 organizations: Fairview Health Services (Minneapolis, MN) and Fairview Clinics (Minneapolis, 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 Michael Esan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Esan accept?

Health plans from Medica and Sanford Health Plan list Michael Esan 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 Michael Esan was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.