DR. OLUFEMI O BANJOKO (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1073590519

DR. OLUFEMI O BANJOKO (MD) is a healthcare provider. based in St louis park, Minnesota. specializing in GERIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 45922 (MN). The NPI Number for DR. OLUFEMI O BANJOKO (MD) is 1073590519

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. OLUFEMI O BANJOKO (MD)
NPI
1073590519
Phone
Not provided
Address
6465 WAYZATA BLVD
Enumeration Date
27 December 2005
Last Update Date
17 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529933123
Graduation Year
1994 (32 years ago)
PAC ID
1759349087
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20050103000617
Address ID
MN554264702ST6500XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

101 GERIATRIC MEDICINE in MN

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Provider Addresses for DR. OLUFEMI O BANJOKO (MD)

  • Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    STE 315

    ST LOUIS PARK, MN 554261728

    Phone:

    Type: Mailing

  • 3850, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    ST LOUIS PARK, MN 554162527

    Phone: (952) 993-5041

    Type: Location

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

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: 2005-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20050103000617IGeriatric MedicineMNTBD

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
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes157149$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes14899$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes13392$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes118116$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What is the standard ID for DR. OLUFEMI O BANJOKO (MD) in the U.S.?
In the U.S., DR. OLUFEMI O BANJOKO (MD) is identified by NPI 1073590519.
Should I treat DR. OLUFEMI O BANJOKO (MD) as an active provider?
Patients and plans typically see DR. OLUFEMI O BANJOKO (MD) as active in the national extract.
What does the directory say DR. OLUFEMI O BANJOKO (MD) does?
Insurance directories may phrase it differently, but here DR. OLUFEMI O BANJOKO (MD) maps to Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. OLUFEMI O BANJOKO (MD)?
DR. OLUFEMI O BANJOKO (MD) is associated with St Louis Park, Minnesota in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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