Active NPI
Omotola Olufunmilayo Majiyagbe, M.D
- Student in an Organized Health Care Education/Training Program
- Minneapolis, MN
National Provider Identifier
1235925199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2450 Riverside Ave Pediatrics Education Office M136, 1S
Minneapolis, MN 55454 - Phone
- (612) 624-4477
- Fax
- (612) 626-7042
- NPI assigned
- Apr 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2450 Riverside Ave Pediatrics Education Office M136, 1S
Minneapolis, MN 55454
Mailing address
2450 Riverside Ave Pediatrics Education Office M136, 1S
Minneapolis, MN 55454
Phone (612) 624-4477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1235925199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 RIVERSIDE AVE PEDIATRICS EDUCATION OFFICE M136, 1S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55454",
"telephone_number": "612-624-4477",
"fax_number": "612-626-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 RIVERSIDE AVE PEDIATRICS EDUCATION OFFICE M136, 1S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55454",
"telephone_number": "612-624-4477",
"fax_number": "612-626-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAJIYAGBE",
"first_name": "OMOTOLA",
"middle_name": "OLUFUNMILAYO",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-17",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.