Michael Soledayo Fagbamiye, CEO

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

25-018973-1 Issued in IN

Practice address

6025 Peregrine Blvd
Indianapolis, IN 46228-1504

Phone

(317) 652-6420

NPI assigned

Oct 9, 2025

Last updated

Oct 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1457226276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 PEREGRINE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462281504",
            "telephone_number": "317-652-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 PEREGRINE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462281504",
            "telephone_number": "317-652-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGBAMIYE",
        "first_name": "MICHAEL",
        "middle_name": "SOLEDAYO",
        "credential": "CEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "IN",
            "license": "25-018973-1",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "25-018973-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanvi Nitin Fadia
• Shannon Deanna Faehling, MD
• Catherine Fagan, MPAS, PA-C
• Daniel Fagan, MD
• Tiffany Simone Fagan, LMHC, BCBA
• Toyosi Fagbemi, FNP-BC
• Keri Beth Fagg, SPEECH LANGUAGE PATH
• Fahad Javed, DDS LLC (Keystone Dental Group)
• Usama Lotfy Fahmy, MD
• Brittany Fahringer, DO

• Attendant Care Provider in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Attendant Care Provider in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.