Active NPI
Bisola Sarah Omoba, MD
- Family Medicine Physician
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18245
- Practice address
- 1825 Woodwinds Dr
Woodbury, MN 55125-2202 - Phone
- (651) 232-6700
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18245 | SD | Primary |
| Family Medicine Physician | 207Q00000X | 72270 | MN | |
| Family Medicine Physician | 207Q00000X | 84392-20 | WI |
Addresses
Primary practice location
1825 Woodwinds Dr
Woodbury, MN 55125-2202
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9419
Other practice location 1
330 N 8th Ave E
Duluth, MN 55805-2024
Phone (218) 723-1112
Other practice location 2
300 S Byron Blvd
Chamberlain, SD 57325-9741
Phone (605) 234-6551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 232-7000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72270 | MN | MD | Family Medicine Physician |
| 18245 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Family Medicine | Current | Accepting new patients |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Past | Accepting new patients | |
| Healtheast Woodwinds Hospital | Past | Accepting new patients |
Locations
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
300 S Byron Blvd
Chamberlain, SD 57325
Phone (605) 234-5511
Interoperability endpoints
- bomoba1805454@fairview.direct-ci.com
Organizations & group practices 9
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.
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Critical Access Hospital
- Chamberlain, SD
- NPI 1134140825
-
- Critical Access Hospital
- Vermillion, SD
- NPI 1790721280
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
- Family Medicine Physician
- Woodbury, MN
- NPI 1578723383
-
- Rural Health Clinic/Center
- Mountain Lake, MN
- NPI 1568469039
-
- Critical Access Hospital
- Canby, MN
- NPI 1780781054
-
- Clinic/Center
- Oakdale, MN
- NPI 1073569935
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Chamberlain, SD
- NPI 1134140825
-
- Critical Access Hospital
- Chamberlain, SD
- NPI 1952687295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1457921843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-9419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 WOODWINDS DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252202",
"telephone_number": "651-232-6700"
}
],
"practiceLocations": [
{
"address_1": "330 N 8th Ave E",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558052024",
"country_code": "US",
"telephone_number": "218-723-1112",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 S Byron Blvd",
"address_purpose": "LOCATION",
"city": "Chamberlain",
"state": "SD",
"postal_code": "573259741",
"country_code": "US",
"telephone_number": "605-234-6551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OMOBA",
"first_name": "BISOLA",
"middle_name": "SARAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "18245",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "72270",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "84392-20",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.