TOLULOPE OYEBOLA FADAYOMI MD
NPI 1760942411
Internal Medicine in Cape Girardeau, MO

Q: What is Tolulope Fadayomi's NPI number?

The NPI number for Tolulope Fadayomi is 1760942411. It was assigned to this individual provider in the NPPES registry on March 20, 2019. The provider is also known as Tolulope Oyebola Ifabiyi MD.

Q: What is Tolulope Fadayomi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Tolulope Fadayomi was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment

1702 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701(573) 339-2000(573) 339-1876 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 26, 2025, Mar 20, 2019 (2 updates tracked since 2019).

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About Tolulope Oyebola Fadayomi Md NPPES

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

TOLULOPE OYEBOLA FADAYOMI MD (NPI 1760942411) is an individual internal medicine provider in Cape Girardeau, Missouri, licensed in Missouri (2024036714) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Southeast, and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2019).

NPPES Registry Identity

NPI1760942411

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameTOLULOPE OYEBOLA FADAYOMICredential: MD

Location Address1702 N KINGSHIGHWAY STCape Girardeau, MO 63701-2122

Mailing AddressPo Box 801143Kansas City, MO 64180-1143 · (573) 331-5583 · Fax (573) 331-5079

Phone(573) 339-2000

Fax(573) 339-1876

Sole ProprietorNo

Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2019

Enumeration DateMarch 20, 2019

Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2025

✔ NPI 1760942411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MO · 2024036714

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 2024036714 (MO)

1702 N KINGSHIGHWAY ST, Cape Girardeau, MO 63701

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Other Names 1

Former Name (1)Tolulope Oyebola Ifabiyi Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tolulope Oyebola Fadayomi 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.

PECOS PAC ID3577897974

PECOS Enrollment IDI20240329000745, I20241001001722

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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

20 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260110

Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County

Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260183

Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63701 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

KELLI A CROWE FNP-C

Nurse Practitioner (Family)