Active NPI
Oluwatobi Ayodele Faniyi, MD
- Student in an Organized Health Care Education/Training Program
- Lubbock, TX
National Provider Identifier
1124810684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3601 4TH Street,Ms 9406 Ttuhsc Department of Pediatrics
Lubbock, TX 79430 - Phone
- (806) 743-1798
- NPI assigned
- May 20, 2025
- Sex
- Male
- Sole proprietor
- No
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
3601 4TH Street,Ms 9406 Ttuhsc Department of Pediatrics
Lubbock, TX 79430
Mailing address
3601 4TH Street,Ms 9406 Ttuhsc Department of Pediatrics
Lubbock, TX 79430
Phone (806) 743-1798
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": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1124810684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 4TH STREET,MS 9406 TTUHSC DEPARTMENT OF PEDIATRICS",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79430",
"telephone_number": "806-743-1798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 4TH STREET,MS 9406 TTUHSC DEPARTMENT OF PEDIATRICS",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79430",
"telephone_number": "806-743-1798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANIYI",
"first_name": "OLUWATOBI",
"middle_name": "AYODELE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-20",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"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 Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.