Individual provider Active NPI

Olukayode O Awosika, M.D.

  • Psychiatry Physician
  • Edina, MN
National Provider Identifier
1073539953
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
46930 Issued in MN
Practice address
6600 France Ave S Ste 415
Edina, MN 55435-1804
Phone
(952) 303-6832
Fax
(952) 303-3434
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 46930 MN Primary

Addresses

Primary practice location

6600 France Ave S Ste 415
Edina, MN 55435-1804

Mailing address

6600 France Ave S Ste 415
Edina, MN 55435-1804
Phone (952) 303-6832

Other practice location 1

2105 W 143rd St Ste B
Burnsville, MN 55306-8000
Phone (952) 303-6832

Other identifiers 1

IdentifierTypeStateIssuer
814640300MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address inbox@pinnaclebhc.direct.wrshealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000239 MN Practitioner - Psychiatry 3072578244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Behavioral Healthcare, LLCGroup PAC ID 3274793807, 2 clinicians

Practice addresses (Care Compare)

6600 France Ave S
Suite 415
Edina, MN 55435-1804
Phone (952) 303-6832

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Pinnacle Behavioral Healthcare, LLC Psychiatry CurrentSince Mar 1, 2012 Accepting new patients
Fairview Health Services CurrentSince Feb 1, 2014 Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

2105 W 143rd St
#B
Burnsville, MN 55306
Phone (952) 303-6832

6600 France Ave S
Ste 415
Minneapolis, MN 55435
Phone (952) 303-6832

7250 France Ave S
Ste 302
Minneapolis, MN 55435
Phone (952) 303-6832

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Interoperability endpoints

  • Direct secure messaging: inbox@pinnaclebhc.direct.wrshealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1073539953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 415",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351804",
            "telephone_number": "952-303-6832",
            "fax_number": "952-303-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 415",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351804",
            "telephone_number": "952-303-6832",
            "fax_number": "952-303-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 W 143rd St Ste B",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553068000",
            "country_code": "US",
            "telephone_number": "952-303-6832",
            "fax_number": "952-892-5460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWOSIKA",
        "first_name": "OLUKAYODE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "46930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "814640300",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "inbox@pinnaclebhc.direct.wrshealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6600 France Ave S Ste 415",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554351804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.