DR. OLADEPO COLLINS FASORANTI (MBBS) – Family Medicine Physician, NPI 1003939968

DR. OLADEPO COLLINS FASORANTI (MBBS) is a healthcare provider. based in Minneapolis, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MBBS. They hold a License No. 001220 (GA). The NPI Number for DR. OLADEPO COLLINS FASORANTI (MBBS) is 1003939968

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. OLADEPO COLLINS FASORANTI (MBBS)
NPI
1003939968
Phone
(952) 883-5375
Address
8170 33RD AVE S
Enumeration Date
7 April 2007
Last Update Date
5 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043647206
Graduation Year
1991 (35 years ago)
PAC ID
6406914795
Group Practice PAC ID
6204829013
Professional Enrollment ID
I20240619000392
Address ID
GA303051729AT3495XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

Provider Addresses for DR. OLADEPO COLLINS FASORANTI (MBBS)

  • 8170 33RD AVE S

    MS21110Q

    MINNEAPOLIS, MN 554254516

    Phone: (952) 883-5375

    Fax: (763) 587-9130

    Type: Mailing

  • 11475 ROBINSON DRIVE NW - MAILSTOP 32600A

    HEALTHPARTNERS COON RAPIDS CLINIC

    COON RAPIDS, MN 554333746

    Phone: (763) 587-9000

    Fax: (763) 587-9130

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081014000741IFamily PracticeMNTBD
I20240619000392IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2420$0
36415Insertion of needle into vein for collection of blood sample1918$0
99214Established patient office or other outpatient visit, 30-39 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204829013View full group profile

Reviews

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Frequently asked questions

What is DR. OLADEPO COLLINS FASORANTI (MBBS)'s NPI number?
DR. OLADEPO COLLINS FASORANTI (MBBS)'s NPI is 1003939968 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. OLADEPO COLLINS FASORANTI (MBBS)?
For scheduling context, DR. OLADEPO COLLINS FASORANTI (MBBS) is shown as active in the registry.
How would a patient describe DR. OLADEPO COLLINS FASORANTI (MBBS)'s focus?
For DR. OLADEPO COLLINS FASORANTI (MBBS), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. OLADEPO COLLINS FASORANTI (MBBS) located near Minneapolis?
DR. OLADEPO COLLINS FASORANTI (MBBS) currently maps to Minneapolis, Minnesota in this extract.
Does DR. OLADEPO COLLINS FASORANTI (MBBS) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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