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Marc T. Awobuluyi, M.D.

NPI 1962512145ActiveIndividual· Radiology, Diagnostic Radiology· Eden Prairie, MN

Radiology, Diagnostic Radiology (M.D.) in Eden Prairie, Minnesota, trained at Harvard Medical School (class of 2000). Medicare paid $160,689 for services to 4,901 patients in 2024.

Overview

NPI1962512145
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedAug 30, 2006
Last updated in NPPESJun 25, 2021
Certified by providerJun 25, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Radiology, Diagnostic Radiology Primary2085R0202XA84420CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Diagnostic Radiology (AZ); Practitioner - Diagnostic Radiology (CA); Practitioner - Diagnostic Radiology (IL); Practitioner - Diagnostic Radiology (MO); Practitioner - Diagnostic Radiology (NJ); Practitioner - Diagnostic Radiology (NV); Practitioner - Diagnostic Radiology (NY); Practitioner - Diagnostic Radiology (OH); Practitioner - Diagnostic Radiology (PA); Practitioner - Diagnostic Radiology (TN); Practitioner - Diagnostic Radiology (WA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients4,901
Services billed6,381 across 115 procedure codes
Paid by Medicare$160,689

Medicare sources and data years

Education and affiliations

Medical schoolHarvard Medical School
Graduation year2000
Medicare specialtyDiagnostic Radiology

Medical groups

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Radiology, Diagnostic Radiology providers in Eden Prairie

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