ADETOLA T. HAASTRUP MD – NPI #1932174588
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

ADETOLA HAASTRUP is a physician located in GRAND FORKS, ND. NPPES has assigned the NPI number 1932174588 to ADETOLA HAASTRUP on February 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name ADETOLA TOLULOLA AJAYI. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 7 years ago on Mar 07, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADETOLA HAASTRUP below.

NPI Profile for
ADETOLA T. HAASTRUP

NPI Number
1932174588
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ADETOLA T. HAASTRUP
Former Name: ADETOLA TOLULOLA AJAYI
Credentials
MD
Primary location
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Phone: (701) 780-2300 Fax: (701) 780-1942
Mailing address
2401 DEMERS AVE
GRAND FORKS, ND 58201
Phone: (701) 780-1891 Fax: (701) 780-1942
Sole Proprietor
No
Updated
Identifiers

Identifiers for ADETOLA HAASTRUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMI4779526
MEDICAIDWI34689000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 MI 4301086777
207R00000X
- Internal Medicine		 MI 4301086777

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ADETOLA HAASTRUP is affiliated with the following medical group(s):
  • HOSPITAL
    • ALTRU HOSPITAL
      1200 S COLUMBIA RD
      GRAND FORKS, ND 58201
    • CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION
      909 2ND ST
      LANGDON, ND 58249
    • LIFECARE MEDICAL CENTER
      715 DELMORE DRIVE
      ROSEAU, MN 56751
    • NELSON COUNTY HEALTH SYSTEM
      200 N MAIN ST
      MCVILLE, ND 58254
    • UNITY MEDICAL CENTER
      164 W 13TH STREET
      GRAFTON, ND 58237
  • DIALYSIS FACILITY
    • ALTRU DIALYSIS SAT AT MERCY HOSP
      1031 7TH ST NE
      DEVILS LAKE, ND 58301
    • ALTRU HEALTH SYSTEM RENAL DIALYSIS CROOKSTON
      400 S MINNESOTA ST
      CROOKSTON, MN 56716
    • ALTRU HOSPITAL
      1200 S COLUMBIA RD
      GRAND FORKS, ND 58201

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