Individual provider Active NPI

Oluwakemi Fagbami, MD

  • Internal Medicine Physician
  • Scottsbluff, NE
National Provider Identifier
1609005453
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q0043 Issued in TX
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

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address ofagbami638282@direct.multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ID, NE, TN, OH, VA6 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 6

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 1355792276, 394 clinicians
Lonestar Hospital Medicine Associates PAGroup PAC ID 6709049703, 126 clinicians
Hospital Medicine Services of Tennessee PCGroup PAC ID 9234432881, 157 clinicians
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

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 Hospital, Coeur D'Alene, ID, CCN 130049
  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183
  • Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q0043TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Incyte Pathology, PLLC Current Accepting new patients
Sinclair Physician Services, LLC Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Mvhe Inc Internal Medicine Current Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Jun 6, 2023 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Feb 10, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 6, 2014 Accepting new patients
Regional West Physicians Clinic Internal Medicine CurrentSince Mar 22, 2022 Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Feb 12, 2024 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 6, 2014 Accepting new patients
Hisey Physician Services, LLC Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Upper Valley Professional Corporation Internal Medicine CurrentSince Jun 6, 2023 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Kootenai Health, Inc. CurrentSince Feb 14, 2022 Accepting new patients
Kootenai Health, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince Feb 14, 2022 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Jun 6, 2023 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

  • Direct secure messaging: 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.

View all 22

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

Verify at the official NPI Registry.