MRS. ADETOLA TOLULOLA HAASTRUP MD
NPI 1932174588
Internal Medicine - Nephrology in Grand Forks, ND

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1300 S COLUMBIA RD, GRAND FORKS, ND 58201(701) 780-2300(701) 780-1942 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Adetola Tolulola Haastrup Md NPPES

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

MRS. ADETOLA TOLULOLA HAASTRUP MD (NPI 1932174588) is an individual nephrology provider in Grand Forks, North Dakota, licensed in North Dakota (11376) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with North Valley Health Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1932174588
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMRS. ADETOLA TOLULOLA HAASTRUPCredential: MD
Location Address1300 S COLUMBIA RDGrand Forks, ND 58201
Mailing Address2401 Demers AveGrand Forks, ND 58201 · (701) 780-1891 · Fax (701) 780-1942
Fax(701) 780-1942
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateFebruary 17, 2006
Last NPPES UpdateMarch 7, 2019
NPI 1932174588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in ND · 11376 Licensed in MI · 4301086777
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301086777 (MI)
1300 S COLUMBIA RD, Grand Forks, ND 58201

Other Names 1

Former Name (1)Adetola Tolulola Ajayi

Other Identifiers 2

Medicaid34689000WI
Medicaid4779526MI

Accepted 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

Mrs. Adetola Tolulola Haastrup 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 ID9436176864
PECOS Enrollment IDI20121129000646
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 14

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.
924 services412 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
804 services219 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
247 services41 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
168 services87 patients
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.
160 services84 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
155 services136 patients

Hospital Affiliations CMS Care Compare 5

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

North Valley Health Center

Critical Access Hospitals · Warren, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241337
Location300 West Good Samaritan DriveWarren, MN 56762 · Marshall County
Emergency services

Lifecare Medical Center

Critical Access Hospitals · Roseau, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241344
Location715 Delmore DriveRoseau, MN 56751 · Roseau County
Emergency services

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Unity Medical Center

Critical Access Hospitals · Grafton, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351320
Location164 W 13th StreetGrafton, ND 58237 · Walsh County
Emergency services

Heart Of America Medical Center

Critical Access Hospitals · Rugby, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351332
Location800 S Main AveRugby, ND 58368 · Pierce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
1 supplier14 claims4,200 services$1.17 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers87 claims4,587 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims2,700 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers39 claims5,760 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,440 services$0.89 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
8 suppliers66 claims66 services$17.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Occupational Therapist
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Internal Medicine (Nephrology)
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Prosthetic/Orthotic Supplier
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Psychiatry & Neurology (Neurology)
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Internal Medicine (Pulmonary Disease)
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Clinic/Center
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Physical Therapist
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Nurse Practitioner (Family)
1300 S COLUMBIA RD
GRAND FORKS, ND 58201

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 Adetola Haastrup's NPI number?

The NPI number for Adetola Haastrup is 1932174588. It was assigned to this individual provider in the NPPES registry on February 17, 2006. The provider is also known as Adetola Tolulola Ajayi.

Where is Adetola Haastrup located?

Adetola Haastrup practices at 1300 S Columbia Rd, Grand Forks, ND 58201. The listed phone number is (701) 780-2300.

What is Adetola Haastrup's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Adetola Haastrup enrolled in Medicare?

Yes. Adetola Haastrup 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.

What insurance does Adetola Haastrup accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Adetola Haastrup 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.

Is Adetola Haastrup affiliated with any hospitals?

According to CMS data, Adetola Haastrup is affiliated with North Valley Health Center, Lifecare Medical Center, Altru Hospital, Unity Medical Center and Heart Of America Medical Center.

When was this NPI record last updated?

The NPPES record for Adetola Haastrup was last updated on March 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.