1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Radiology
  6. NPI Profile

MORENIKE FANU
NPI 1720548365
Radiology - Diagnostic Radiology in Minneapolis, MN

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
420 DELAWARE STREET SE, MMC 292, MINNEAPOLIS, MN 55455(612) 626-5589 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 27, 2025, Apr 15, 2024, Jun 24, 2020 and 1 more (4 updates tracked since 2019).

About Morenike Fanu NPPES

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

MORENIKE FANU (NPI 1720548365) is an individual diagnostic radiology provider in Minneapolis, Minnesota, licensed in Georgia (104926) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1720548365
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameMORENIKE FANU
Location Address420 DELAWARE STREET SE, MMC 292Minneapolis, MN 55455
Mailing Address350 W Thomas RdPhoenix, AZ 85013-4409 · (602) 406-4440 · Fax (602) 406-2335
Phone(612) 626-5589
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateJune 27, 20254 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1720548365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in GA · 104926✔ Licensed in MN · 72342
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
420 DELAWARE STREET SE, Minneapolis, MN 55455
Open in Google Maps ↗

Secondary Practice Location 1

Location 1350 W Thomas RdPhoenix, AZ 85013-4409 · Phone (602) 406-4440 · Fax (602) 406-2335

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

Morenike Fanu 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.

PECOS PAC ID5597105593
PECOS Enrollment IDI20251229004000
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

4

Medicare enrollment records show Morenike Fanu reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
0.4 mi
Cardiovascular Disease
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1629224258 (612) 625-3600
Fairview Clinics
0.4 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
Healtheast Medical Research Institute
3.3 mi
Internal Medicine
1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
NPI 1508191552 (651) 232-2273
Northside Radiology Associates LLC
898 mi
Diagnostic Radiology
1000 JOHNSON FERRY RD
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia and Minnesota enrollments
  • 241 clinicians in this Medicare group
NPI 1013960657 (404) 662-2438

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.

X-ray of entire middle and lower spine, 2-3 views 72082
An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.
61 services59 patients
X-ray for bone length assessment 77073
An X-ray for bone length assessment is a simple, non-invasive imaging test. It helps to evaluate the length of your bones and identify any discrepancies or abnormalities. This procedure is quick, painless, and provides valuable information for your healthcare provider.
57 services55 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
22 services22 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

ROSS RYBAKOWICZ MD
Surgery
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
ANOOJ PATEL
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-4777
SUCHAPA ARAYAKARNKUL M.D.
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 284
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-5454
DR. BOYANGZI LI MD, PHD
Internal Medicine (Cardiovascular Disease)
420 DELAWARE STREET SE, MMC 508
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-2589
DR. JACQUELINE TUCKER MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 396
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-7692
NEUROLOGY LTD.
Clinical Medical Laboratory
420 DELAWARE STREET SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-1431
CHESNEY BURGWEGER SIEMS MD
Surgery
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
SANA KAGALWALLA
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 284
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-5454

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 Morenike Fanu's NPI number?

The NPI number for Morenike Fanu is 1720548365. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Morenike Fanu located?

Morenike Fanu practices at 420 Delaware Street SE Mmc 292, Minneapolis, MN 55455. The listed phone number is (612) 626-5589.

What is Morenike Fanu's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Morenike Fanu enrolled in Medicare?

Yes. Morenike Fanu 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 Morenike Fanu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Morenike Fanu reassigns Medicare benefits to 4 organizations: Fairview Express Care (Minneapolis, MN), Fairview Clinics (Minneapolis, MN), Healtheast Medical Research Institute (Saint Paul, MN) and Northside Radiology Associates LLC (Atlanta, GA). 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 Morenike Fanu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Morenike Fanu affiliated with any hospitals?

According to CMS data, Morenike Fanu is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Morenike Fanu was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.