ABIMBOLA O FAMUYIDE (M.B.B.S.) – Obstetrics & Gynecology Physician, NPI 1457338774

ABIMBOLA O FAMUYIDE (M.B.B.S.) is a healthcare provider. based in Rochester, Minnesota. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.B.B.S.. They hold a License No. 41872 (MN). The NPI Number for ABIMBOLA O FAMUYIDE (M.B.B.S.) is 1457338774

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
ABIMBOLA O FAMUYIDE (M.B.B.S.)
NPI
1457338774
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
28 December 2005
Last Update Date
13 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072842511
Graduation Year
1985 (41 years ago)
PAC ID
5890700413
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20060217000218
Address ID
MN559050001RO200XXSWXX400

Contacts

Secure Messaging
afamuyide67193@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

822 OBSTETRICS/GYNECOLOGY in MN

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Provider Addresses for ABIMBOLA O FAMUYIDE (M.B.B.S.)

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Mailing address matches the actual address.

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: 2006-02-17

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
I20060217000218IObstetrics/GynecologyMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55905)

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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: 6507778255View full group profile

Reviews

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Frequently asked questions

What number should I use to identify ABIMBOLA O FAMUYIDE (M.B.B.S.) for billing?
Administrative and clinical systems typically use NPI 1457338774 for ABIMBOLA O FAMUYIDE (M.B.B.S.).
Does the public listing show ABIMBOLA O FAMUYIDE (M.B.B.S.) as active?
ABIMBOLA O FAMUYIDE (M.B.B.S.)'s NPI record reflects an active status in NPPES.
Which specialty label fits ABIMBOLA O FAMUYIDE (M.B.B.S.)?
NPPES ties ABIMBOLA O FAMUYIDE (M.B.B.S.) to Obstetrics & Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ABIMBOLA O FAMUYIDE (M.B.B.S.)?
ABIMBOLA O FAMUYIDE (M.B.B.S.) shows a connection to Rochester, Minnesota in registry-derived data.
Who maintains ABIMBOLA O FAMUYIDE (M.B.B.S.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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