DR. MARC T. AWOBULUYI (M.D.) – Diagnostic Radiology Physician, NPI 1962512145
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,800 DIAGNOSTIC RADIOLOGY in CA
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Provider Addresses for DR. MARC T. AWOBULUYI (M.D.)
11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States
SUITE 500
EDEN PRAIRIE, MN 55344
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Mailing
Millennium Tower, 301, Mission Street, Financial District, San Francisco, California, 94105, United States
UNIT 39D
SAN FRANCISCO, CA 941052243
Phone: (415) 353-1668
Fax: (415) 353-8593
Type: Location
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1100
Fax: (612) 294-4903
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: 2025-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 11 Medicare enrollment records; no due dates published yet.
Enrollment records
11
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 |
|---|---|---|---|---|
| I20061013000379 | I | Diagnostic Radiology | CA | TBD |
| I20090911000028 | I | Diagnostic Radiology | OH | TBD |
| I20110201000618 | I | Diagnostic Radiology | PA | TBD |
| I20140519000601 | I | Diagnostic Radiology | MO | TBD |
| I20141022002563 | I | Diagnostic Radiology | IL | TBD |
| I20150102001000 | I | Diagnostic Radiology | TN | TBD |
| I20150406000582 | I | Diagnostic Radiology | NY | TBD |
| I20230510003359 | I | Diagnostic Radiology | NJ | TBD |
| I20241218000735 | I | Diagnostic Radiology | AZ | TBD |
| I20250117002481 | I | Diagnostic Radiology | NV | TBD |
| I20250211002204 | I | Diagnostic Radiology | WA | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,979 | 1,931 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 1,397 | 1,391 | $0 |
| 71046 | X-ray of chest, 2 views | 1,332 | 1,317 | $0 |
| 74018 | X-ray of abdomen, 1 view | 642 | 630 | $0 |
| 70450 | Ct scan head or brain without contrast | 609 | 575 | $0 |
Insurance plans in this area (ZIP 55344)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology, Interventional Radiology | CA | |
| Diagnostic Radiology | LA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA |
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