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DR. TAJUDEEN OLADAPO FAWOLE M. D.
NPI 1801991005
Internal Medicine in Brooklyn Park, MN

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
4808 85TH AVE N, BROOKLYN PARK, MN 55443(763) 496-1562(763) 657-0581 Get Directions Write a Review

NPPES record last updated: February 13, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tajudeen Oladapo Fawole M. D. NPPES

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

DR. TAJUDEEN OLADAPO FAWOLE M. D. (NPI 1801991005) is an individual internal medicine provider in Brooklyn Park, Minnesota, licensed in Minnesota (46351) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1801991005
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TAJUDEEN OLADAPO FAWOLECredential: M. D.
Location Address4808 85TH AVE NBrooklyn Park, MN 55443-1816
Mailing Address4808 85th Ave NBrooklyn Park, MN 55443-1816 · (763) 496-1562 · Fax (763) 657-0581
Phone(763) 496-1562
Fax(763) 657-0581
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 13, 2006
Last NPPES UpdateFebruary 13, 2014
✔ NPI 1801991005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 46351
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.
4808 85TH AVE N, Brooklyn Park, MN 55443
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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. Tajudeen Oladapo Fawole M. D. 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 ID8729017082
PECOS Enrollment IDI20061023000043
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 Reassignment

Medicare enrollment records show Tajudeen Fawole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regency Hospital Of Minneapolis, LLC
Long Term Care Hospital
1300 HIDDEN LAKES PKWY
Golden Valley, MN 55422
  • Reassigned Medicare billing, Minnesota enrollment
  • 77 clinicians in this Medicare group
NPI 1770585382 (763) 588-2750

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55443 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
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW IREYI OBAMI
Nurse Practitioner (Family)
4808 85TH AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 496-1562

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 Tajudeen Fawole's NPI number?

The NPI number for Tajudeen Fawole is 1801991005. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Tajudeen Fawole located?

Tajudeen Fawole practices at 4808 85th Ave N, Brooklyn Park, MN 55443. The listed phone number is (763) 496-1562.

What is Tajudeen Fawole's specialty?

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

Is Tajudeen Fawole enrolled in Medicare?

Yes. Tajudeen Fawole 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 organization bills Medicare for Tajudeen Fawole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tajudeen Fawole reassigns Medicare benefits to Regency Hospital Of Minneapolis, LLC (Golden Valley, MN). The 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 Tajudeen Fawole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tajudeen Fawole was last updated on February 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.