DR. OLADEPO COLLINS FASORANTI (MBBS) – Family Medicine Physician, NPI 1003939968
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081014000741 | I | Family Practice | MN | TBD |
| I20240619000392 | I | Family Practice | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 20 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 19 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 55425)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| - | GA | |
| - | GA | |
| Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| N E U R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| N E U R O L O G Y | IL | |
| - | GA |
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