Individual provider Active NPI

Oluwatoyin Jimmy Agbaosi, M.D

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1265675201
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
44720 Issued in TN
Practice address
3960 New Covington Pike
Memphis, TN 38128-2504
Phone
(901) 516-5741
Fax
(901) 516-5986
NPI assigned
Apr 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44720 TN Primary

Addresses

Primary practice location

3960 New Covington Pike
Memphis, TN 38128-2504

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice location 1

1300 Wesley Dr
Memphis, TN 38116-6426
Phone (901) 516-5741

Other practice location 2

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 761-4131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100215000230 TN Practitioner - HospitalistPractitioner - Internal Medicine 7810031820 Reassigns benefits to 2 organizations
I20200619001517 MS Practitioner - Hospitalist 7810031820

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South MD PCGroup PAC ID 2668624735, 2 clinicians
Methodist Inpatient Physicians LLCGroup PAC ID 1254241235, 123 clinicians

Practice addresses (Care Compare)

Memphis, TN 38125
Phone (901) 570-7438

3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5741

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tristate Hospitalists PLLC Internal Medicine Current Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients

Locations

1251 Wesley Dr
Ste 100
Memphis, TN 38116
Phone (901) 332-9632

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

Interoperability endpoints

  • Direct secure messaging: oagbaosi31541@mlh.direct-ci.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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1265675201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 NEW COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282504",
            "telephone_number": "901-516-5741",
            "fax_number": "901-516-5986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Wesley Dr",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381166426",
            "country_code": "US",
            "telephone_number": "901-516-5741",
            "fax_number": "901-516-5986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6019 Walnut Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202113",
            "country_code": "US",
            "telephone_number": "901-761-4131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGBAOSI",
        "first_name": "OLUWATOYIN",
        "middle_name": "JIMMY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "44720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.