DR. OLUSOLA OLASUPO ADEGOKE MD MPH
NPI 1619311586
Family Medicine in Apple Valley, MN
About Dr. Olusola Olasupo Adegoke Md Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. OLUSOLA OLASUPO ADEGOKE MD MPH (NPI 1619311586) is an individual family medicine provider in Apple Valley, Minnesota, licensed in Minnesota (59639) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and maintains a secondary practice location in New Richmond.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Olusola Olasupo Adegoke Md Mph 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
8Medicare enrollment records show Olusola Adegoke reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Apple Valley, MN 55124
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- Also billed through NPI 1710924683 (Wisconsin)
- 2,274 clinicians in this Medicare group
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
Hudson, WI 54016
- Reassigned Medicare billing, Wisconsin enrollment
- 158 clinicians in this Medicare group
New Richmond, WI 54017
- Reassigned Medicare billing, Wisconsin enrollment
- 357 clinicians in this Medicare group
Saint Croix Falls, WI 54024
- Reassigned Medicare billing, Wisconsin enrollment
- 453 clinicians in this Medicare group
Amery, WI 54001
- Reassigned Medicare billing, Wisconsin enrollment
- 348 clinicians in this Medicare group
Hutchinson, MN 55350
- Reassigned Medicare billing, Minnesota enrollment
- 253 clinicians in this Medicare group
Olivia, MN 56277
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1629091871 (Minnesota), NPI 1467525162 (Minnesota)
- 125 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakeview Memorial Hospital
Acute Care Hospitals · Stillwater, MNRegions Hospital
Acute Care Hospitals · Saint Paul, MNWestfields Hospital And Clinic
Critical Access Hospitals · New Richmond, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Olusola Adegoke's NPI number?
The NPI number for Olusola Adegoke is 1619311586. It was assigned to this individual provider in the NPPES registry on April 23, 2013.
Where is Olusola Adegoke located?
Olusola Adegoke practices at 15290 Pennock Ln, Apple Valley, MN 55124. The listed phone number is (952) 853-8800.
What is Olusola Adegoke's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Olusola Adegoke enrolled in Medicare?
Yes. Olusola Adegoke 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 Olusola Adegoke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olusola Adegoke reassigns Medicare benefits to 8 organizations: Group Health, Inc. (Apple Valley, MN), Park Nicollet Methodist Hospital (St Louis Park, MN), Hudson Hospital, Inc. (Hudson, WI), Westfields Hospital, Inc. (New Richmond, WI), St. Croix Regional Medical Center (Saint Croix Falls, WI) and 3 more organizations, listed in the Medicare section above. 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 Olusola Adegoke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Olusola Adegoke accept?
Health plans from Anthem Blue Cross and Blue Shield list Olusola Adegoke 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 Olusola Adegoke affiliated with any hospitals?
According to CMS data, Olusola Adegoke is affiliated with Lakeview Memorial Hospital, Regions Hospital and Westfields Hospital And Clinic.
When was this NPI record last updated?
The NPPES record for Olusola Adegoke was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Olusola Olasupo Adegoke, MD MPH · NPI 1619311586
Family Medicine physician in Apple Valley, Minnesota. Individual provider, active in the CMS NPPES registry since April 23, 2013.
## Identity
- **NPI:** 1619311586 (Entity type: Individual)
- **Enumerated:** April 23, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 59639 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 15290 PENNOCK LN, Apple Valley, MN 55124-7163
- **Phone:** (952) 853-8800 · **Fax:** (952) 431-6966
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Group Health, Inc. (NPI 1073668877, Apple Valley, MN); Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN); Hudson Hospital, Inc. (NPI 1255532875, Hudson, WI); Westfields Hospital, Inc. (NPI 1881640183, New Richmond, WI); St. Croix Regional Medical Center (NPI 1043240922, Saint Croix Falls, WI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** March 8, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1619311586) · Data from the CMS NPPES public registry.