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

Active since May 17, 2006PECOS Enrolled
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: November 01, 2026.

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

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 and maintains a secondary practice location in Meridian.

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
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
Open in Google Maps ↗

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 Health Plan, Inc., 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)

Dr. Eniola O Fagbongbe M.d, Mba 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

11

Medicare enrollment records show Eniola Fagbongbe reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obhg Mississippi, P.C.
817 mi
Obstetrics & Gynecology
1225 N STATE ST STE B1
Jackson, MS 39202
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Obhg Mississippi PC
  • 145 clinicians in this Medicare group
NPI 1083995674 (800) 967-2289
Anderson Physician Alliance, Inc.
829 mi
Multi-Specialty
2124 14TH ST
Meridian, MS 39301
  • Reassigned Medicare billing, Mississippi enrollment
  • 173 clinicians in this Medicare group
NPI 1760798227 (601) 703-3480
Anderson Regional Medical Center
829 mi
Specialist
2124 14TH ST
Meridian, MS 39301
  • Reassigned Medicare billing, Mississippi enrollment
  • 30 clinicians in this Medicare group
NPI 1043764699 (601) 553-6000
Rush Hospital/Butler, Inc
854 mi
Emergency Medicine
401 VANITY FAIR LANE
Butler, AL 36904
  • Reassigned Medicare billing, Alabama enrollment
  • Also billed through NPI 1184993727 (Alabama)
  • 77 clinicians in this Medicare group
NPI 1811268592 (205) 459-9100
Emergency Staffing Solutions Inc
861 mi
Emergency Medicine
240 HIGHLAND DR
Many, LA 71449
  • Reassigned Medicare billing, Alabama enrollment
  • 30 clinicians in this Medicare group
NPI 1477590974 (318) 256-5691
J. Paul Jones Hospital
875 mi
General Acute Care Hospital
317 MCWILLIAMS AVE
Camden, AL 36726
  • Reassigned Medicare billing, Alabama enrollment
  • 19 clinicians in this Medicare group
NPI 1477520526 (334) 682-4131
Wh Services Brewton LLC
937 mi
Emergency Medicine
1301 BELLEVILLE AVE
Brewton, AL 36426
  • Reassigned Medicare billing, Alabama enrollment
  • 23 clinicians in this Medicare group
NPI 1194408005 (251) 867-8061
Wh Services Atmore LLC
937 mi
Emergency Medicine
401 MEDICAL PARK DR
Atmore, AL 36502
  • Reassigned Medicare billing, Alabama enrollment
  • 22 clinicians in this Medicare group
NPI 1972375574 (251) 368-2500
Newgen Alabama Billing LLC
943 mi
Emergency Medicine
126 HOSPITAL AVE
Ozark, AL 36360
  • Reassigned Medicare billing, Alabama enrollment
  • 140 clinicians in this Medicare group
NPI 1013744424 (334) 774-2601
Correct Care, Inc.
944 mi
Emergency Medicine
229 SAINT JOHN LN
Covington, LA 70433
  • Reassigned Medicare billing, Alabama enrollment
  • 152 clinicians in this Medicare group
NPI 1215987441 (985) 773-1847

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 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.

EMILY LEASURE MD
Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
NATHANAEL BAILEY
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
NICOLE S NIPPER NP
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
BRANDI D'SOUZA NP
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
DR. JODI M. MOORE-WEISS OD
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
JENNIFER L KERKVLIET MA
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
EMMANUEL J LUJERO CRNA
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
JUAN PABLO BRITO CAMPANA M.D
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511

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 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.

Where is Eniola Fagbongbe located?

Eniola Fagbongbe practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Eniola Fagbongbe's specialty?

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

Is Eniola Fagbongbe enrolled in Medicare?

Yes. Eniola Fagbongbe is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eniola Fagbongbe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eniola Fagbongbe reassigns Medicare benefits to 11 organizations: Obhg Mississippi, P.C. (Jackson, MS), Anderson Physician Alliance, Inc. (Meridian, MS), Anderson Regional Medical Center (Meridian, MS), Rush Hospital/Butler, Inc (Butler, AL), Emergency Staffing Solutions Inc (Many, LA) and 6 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 Eniola Fagbongbe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eniola Fagbongbe accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Health Plan, Inc. and Sanford Health Plan list Eniola Fagbongbe 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 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 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.