DR. MARC T. AWOBULUYI M.D.
NPI 1962512145
Radiology - Diagnostic Radiology in Eden Prairie, MN

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344(952) 595-1100(612) 294-4903 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 25, 2021, Aug 28, 2017 (2 updates tracked since 2017).

About Dr. Marc T. Awobuluyi M.d. NPPES

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

DR. MARC T. AWOBULUYI M.D. (NPI 1962512145) is an individual diagnostic radiology provider in Eden Prairie, Minnesota, licensed in California (A84420) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2000).

NPPES Registry Identity

NPI1962512145
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MARC T. AWOBULUYICredential: M.D.
Location Address11995 SINGLETREE LN STE 500Eden Prairie, MN 55344-5349
Mailing Address11995 Singletree Ln Ste 500Eden Prairie, MN 55344-5349 · (952) 595-1100 · Fax (612) 294-4903
Fax(612) 294-4903
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2000
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 25, 20212 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
✔ NPI 1962512145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A84420
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
11995 SINGLETREE LN STE 500, Eden Prairie, MN 55344

Accepted Insurance

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. Marc T. Awobuluyi 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 ID5991701948
PECOS Enrollment IDI20061013000379, I20090911000028, I20110201000618, I20140519000601, I20141022002563, I20250211002204
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

14

Medicare enrollment records show Marc Awobuluyi reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1000 DUTCH RIDGE RD, THE MEDICAL CENTER
Beaver, PA 15009
  • Reassigned Medicare billing, California, Ohio and Pennsylvania enrollments
Diagnostic Radiology
1000 DUTCH RIDGE RD
Beaver, PA 15009
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 26 clinicians in this Medicare group
Diagnostic Radiology
200 W ACADEMY STREET
Gainesville, GA 30501
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
215 SCHILLING CIR STE 114
Hunt Valley, MD 21031
  • Reassigned Medicare billing, Missouri, New Jersey, Ohio, California, Arizona and New York enrollments
  • Also billed through NPI 1013217769 (California), NPI 1932376233 (New York)
  • 21 clinicians in this Medicare group
Physiological Laboratory
2505 LORD BALTIMORE DRIVE, SUITE E
Windsor Mill, MD 21244
  • Reassigned Medicare billing, California and Tennessee enrollments
  • 10 clinicians in this Medicare group
Diagnostic Radiology
95 JUDGE TANNER BLVD
Covington, LA 70433
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
Diagnostic Radiology
7200 CATHEDRAL ROCK DR STE 230
Las Vegas, NV 89128
  • Reassigned Medicare billing, California enrollment
  • 37 clinicians in this Medicare group
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
7355 PRAIRIE FALCON RD
Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada, Washington, California, New Jersey, New York, Ohio and Pennsylvania enrollments
  • Also billed through NPI 1124340039 (Washington), NPI 1225290174 (California), NPI 1548422488 (Pennsylvania)
  • 19 clinicians in this Medicare group
Diagnostic Radiology
12401 WASHINGTON BLVD
Whittier, CA 90602
  • Reassigned Medicare billing, California enrollment
  • 84 clinicians in this Medicare group
Diagnostic Ultrasound
2141 S EL CAMINO REAL STE A&B
Oceanside, CA 92054
  • Reassigned Medicare billing, California, New York and Ohio enrollments
  • 9 clinicians in this Medicare group

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 75

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
630 services611 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
587 services557 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
404 services399 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
352 services347 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
320 services318 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
306 services301 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55344 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
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.

Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Neuroimaging)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344

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 Marc Awobuluyi's NPI number?

The NPI number for Marc Awobuluyi is 1962512145. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Marc Awobuluyi located?

Marc Awobuluyi practices at 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344. The listed phone number is (952) 595-1100.

What is Marc Awobuluyi's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Marc Awobuluyi enrolled in Medicare?

Yes. Marc Awobuluyi 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 organizations bill Medicare for Marc Awobuluyi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Awobuluyi reassigns Medicare benefits to 14 organizations: Brighton Radiology Associates, P.C. (Beaver, PA), Heritage Valley Radiology, Inc. (Beaver, PA), Gainesville Radiology Group, PC (Gainesville, GA), Symphony Diagnostic Services No 1 LLC (Hunt Valley, MD), American Diagnostics Services LLC (Windsor Mill, MD) and 9 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 Marc Awobuluyi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Awobuluyi accept?

Health plans from CareSource, Oscar Health and Taro Health list Marc Awobuluyi 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 Marc Awobuluyi was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.