DR. ENIOLA O FAGBONGBE M.D, MBA
NPI 1790737807
Obstetrics & Gynecology in Rochester, MN

Q: What is Eniola Fagbongbe's NPI number?

The NPI number for Eniola Fagbongbe is 1790737807. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Eniola Fagbongbe's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Eniola Fagbongbe was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 17, 2006PECOS EnrolledAccepts Medicare Assignment

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2023, Oct 1, 2020, Jun 9, 2020 (3 updates tracked since 2020).

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About Dr. Eniola O Fagbongbe M.d, Mba NPPES

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

DR. ENIOLA O FAGBONGBE M.D, MBA (NPI 1790737807) is an individual obstetrics & gynecology provider in Rochester, Minnesota, licensed in Alabama (00023921) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Meridian, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1790737807

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. ENIOLA O FAGBONGBECredential: M.D, MBA

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateMay 17, 2006

Last NPPES UpdateJuly 17, 20253 updates tracked since enumeration

NPPES CertifiedJuly 17, 2025

✔ NPI 1790737807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in AL · 00023921✔ Licensed in MS · 29142✔ Licensed in MN · 66741

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

200 1ST ST SW, Rochester, MN 55905

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Secondary Practice Location 1

Location 12124 14th StMeridian, MS 39301-4040 · Phone (601) 553-6000 · Fax (601) 703-0124

Other Identifiers 1

Medicaid540091003AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, Sanford Health Plan.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

Dr. Eniola O Fagbongbe M.d, Mba 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 ID9739130972

PECOS Enrollment IDI20050204000780, I20221121000114

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

65 services58 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

48 services45 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

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.

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