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RASHEEDAT YETUNDE FAWOLE MD
NPI 1811473838
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since July 12, 2018PECOS Enrolled
BRONX- LEBANON HOSPITAL CENTER, 1650 GRAND CONCOURSE, BRONX, NY 10457(718) 960-1417 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rasheedat Yetunde Fawole Md NPPES

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

RASHEEDAT YETUNDE FAWOLE MD (NPI 1811473838) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811473838
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRASHEEDAT YETUNDE FAWOLECredential: MD
Location AddressBRONX- LEBANON HOSPITAL CENTER, 1650 GRAND CONCOURSEBronx, NY 10457
Mailing Address1749 Grand Concourse Apt 13gBronx, NY 10453-8219 · (979) 255-7508
Phone(718) 960-1417
Sole ProprietorNo
Enumeration DateJuly 12, 2018
✔ NPI 1811473838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
BRONX- LEBANON HOSPITAL CENTER, Bronx, NY 10457
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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 (PECOS)

Rasheedat Yetunde Fawole Md 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 Reassignment

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

Samaritan Pediatric Services, P.C.
32 mi
Pediatrics
655 DEER PARK AVE
Babylon, NY 11702
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Samaritan Pediatric Services PC
  • 55 clinicians in this Medicare group
NPI 1730308925 (631) 321-2100

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

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 Rasheedat Yetunde Fawole's NPI number?

The NPI number for Rasheedat Yetunde Fawole is 1811473838. It was assigned to this individual provider in the NPPES registry on July 12, 2018.

Where is Rasheedat Yetunde Fawole located?

Rasheedat Yetunde Fawole practices at Bronx- Lebanon Hospital Center 1650 Grand Concourse, Bronx, NY 10457. The listed phone number is (718) 960-1417.

What is Rasheedat Yetunde Fawole's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rasheedat Yetunde Fawole enrolled in Medicare?

Yes. Rasheedat Yetunde Fawole is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rasheedat Yetunde Fawole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rasheedat Yetunde Fawole reassigns Medicare benefits to Samaritan Pediatric Services, P.C. (Babylon, NY). 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 Rasheedat Yetunde 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 Rasheedat Yetunde Fawole was last updated on July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.