Active NPI
Oluwakemi Fagbami, MD
- Internal Medicine Physician
- Scottsbluff, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- Q0043
- Practice address
- 4021 Avenue B
Scottsbluff, NE 69361-4602 - Phone
- (308) 635-3711
- NPI assigned
- Jul 14, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | M-16197 | ID | |
| Internal Medicine Physician | 207R00000X | Q0043 | TX | Primary |
Addresses
Primary practice location
4021 Avenue B
Scottsbluff, NE 69361-4602
Mailing address
3948 Legacy Dr # 264
Plano, TX 75023-8300
Phone (610) 750-5207
Other practice location 1
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-6900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ofagbami638282@direct.multicare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, ID, NE, TN, OH, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141008000333 | TX | Practitioner - Internal Medicine | 6002063294 | Reassigns benefits to 3 organizations |
| I20220224002470 | ID | Practitioner - Hospitalist | 6002063294 | Reassigns benefits to 2 organizations |
| I20220420000300 | NE | Practitioner - Hospitalist | 6002063294 | Reassigns benefits to 1 organization |
| I20230123000442 | TN | Practitioner - Internal Medicine | 6002063294 | Reassigns benefits to 2 organizations |
| I20230523001135 | OH | Practitioner - Internal Medicine | 6002063294 | Reassigns benefits to 4 organizations |
| I20240326000070 | VA | Practitioner - Hospitalist | 6002063294 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kootenai Health IncLonestar Hospital Medicine Associates PAHospital Medicine Services of Tennessee PCSoutheastern Physician Services PC
Practice addresses (Care Compare)
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000
22999 Hwy 59 N
Kingwood, TX 77339-4412
Phone (281) 348-8000
421 S Main St
Crossville, TN 38555-5048
Phone (931) 484-9511
5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-1000
Hospital & facility affiliations
- Kootenai Health
- Cumberland Medical Center
- Methodist Mansfield Medical Center
- St Francis Hospital
- Vanderbilt Clarksville Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q0043 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Ipc Healthcare Services of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Incyte Pathology, PLLC | Current | Accepting new patients | |
| Sinclair Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of Tennessee PC | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Regional West Physicians Clinic | Internal Medicine | Current | Accepting new patients |
| Southeastern Intensivist Services PC | Internal Medicine | Current | Accepting new patients |
| Lonestar Hospital Medicine Associates, PA | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Hisey Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Upper Valley Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Regional West Physicians Clinic | Past | Accepting new patients | |
| Regional West Medical Center | Past | Accepting new patients |
Locations (25 of 30)
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564
4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384
3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355
3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355
722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394
9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
421 S Main St
Crossville, TN 38555
Phone (931) 260-1465
5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100
Interoperability endpoints
- ofagbami638282@direct.multicare.org
Organizations & group practices 22
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.
-
- Hospitalist Physician
- Lawrenceburg, IN
- NPI 1528433802
Internal Medicine, TN
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
Internal Medicine, TX
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine, TN
-
- Family Medicine Physician
- Scottsbluff, NE
- NPI 1306910534
Internal Medicine, NE
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
Internal Medicine, TX
-
- Hospitalist Physician
- Middletown, OH
- NPI 1073380614
Internal Medicine, OH
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1023403011
Internal Medicine, TX
-
- Hospitalist Physician
- Dayton, OH
- NPI 1063289601
Internal Medicine, OH
-
- Hospitalist Physician
- West Memphis, AR
- NPI 1912942665
Internal Medicine, VA
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": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1609005453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3948 LEGACY DR # 264",
"city": "PLANO",
"state": "TX",
"postal_code": "750238300",
"telephone_number": "610-750-5207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4021 AVENUE B",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614602",
"telephone_number": "308-635-3711"
}
],
"practiceLocations": [
{
"address_1": "2003 Kootenai Health Way",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838146051",
"country_code": "US",
"telephone_number": "208-625-6900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAGBAMI",
"first_name": "OLUWAKEMI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "ID",
"license": "M-16197",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q0043",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ofagbami638282@direct.multicare.org",
"affiliation": "N",
"address_1": "2003 Kootenai Health Way",
"city": "Coeur D Alene",
"state": "ID",
"country_code": "US",
"postal_code": "838146051",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.