Individual provider Active NPI

Oyeyemi Adetokunbo Fabuyi, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Fort Worth, TX
National Provider Identifier
1407826498
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
L9188 Issued in TX
Practice address
508 South Adams Street, Suite 200
Fort Worth, TX 76104-2151
Phone
(817) 332-7600
Fax
(817) 332-7606
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L9188 TX
Pulmonary Disease Physician 207RP1001X L9188 TX
Sleep Medicine (Internal Medicine) Physician 207RS0012X L9188 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X L9188 TX Primary

Addresses

Primary practice location

508 South Adams Street, Suite 200
Fort Worth, TX 76104-2151

Mailing address

P.O. Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400

Other practice location 1

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

Other identifiers 2

IdentifierTypeStateIssuer
168743603MedicaidTX
P00991901OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041119000022 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 3577527407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Intensivists, PLLCGroup PAC ID 2264896364, 39 clinicians

Practice addresses (Care Compare)

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L9188TXMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince May 20, 2018 Accepting new patients
Gulf Coast Intensivists, PLLC Critical Care Medicine CurrentSince Sep 1, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 20, 2018 Accepting new patients
Christus Spohn Health System Corporation Past Accepting new patients

Locations

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: oyeyemi.fabuyiold.p1@direct.thc.nextgenshare.com
  • Direct secure messaging: ofabuyi156332@christushealth.direct-ci.net

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 1

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1407826498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761611205",
            "telephone_number": "817-740-8400",
            "fax_number": "817-378-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 SOUTH ADAMS STREET, SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042151",
            "telephone_number": "817-332-7600",
            "fax_number": "817-332-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042235",
            "country_code": "US",
            "telephone_number": "361-881-3000",
            "fax_number": "361-881-3149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FABUYI",
        "first_name": "OYEYEMI",
        "middle_name": "ADETOKUNBO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L9188",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "L9188",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "L9188",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "L9188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168743603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00991901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.