Individual provider Active NPI

Olushola B Obafemi, MD

  • Hospitalist Physician
  • Humble, TX
National Provider Identifier
1659804987
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
W3293 Issued in TX
Practice address
18951 N Memorial Dr
Humble, TX 77338-4217
Phone
(281) 540-8409
NPI assigned
Apr 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X W3293 TX
Hospitalist Physician 208M00000X W3293 TX Primary
Internal Medicine Physician 207R00000X 28897 MS

Addresses

Primary practice location

18951 N Memorial Dr
Humble, TX 77338-4217

Mailing address

930 Frostwood Dr Ste 2.200
Houston, TX 77024-2450

Other practice location 1

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (832) 488-0170

Other practice location 2

1030 River Oaks Dr
Flowood, MS 39232-9553
Phone (601) 376-2832

Other practice location 3

1225 N State St
Jackson, MS 39202-2064
Phone (601) 988-5281

Other practice location 4

1850 Chadwick Dr
Jackson, MS 39204-3404
Phone (601) 376-2832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 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
I20210708003595 MS Practitioner - Internal Medicine 8628342557 Reassigns benefits to 2 organizations
I20260430003948 TX Practitioner - Hospitalist 8628342557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Foundation of Central Mississippi IncGroup PAC ID 1153216411, 274 clinicians
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261

18951 N Memorial Dr
Humble, TX 77338-4217
Phone (281) 540-8409

401 Baptist Dr
Suite 104
Madison, MS 39110-2010
Phone (601) 973-1504

915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222

Hospital & facility affiliations

  • Mississippi Homecare of Jackson Home health agency, Jackson, MS, CCN 257082
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
W3293TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Mississippi, Inc. Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Mississippi Baptist Medical Center, Inc CurrentSince Jul 1, 2023 Accepting new patients
Mississippi Baptist Medical Center, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Medical Foundation of Central Ms CurrentSince Jul 1, 2023 Accepting new patients
Mississippi Baptist Medical Center, Inc. Current Accepting new patients
Mississippi Baptist Medical Center, Inc. Hospitalist Past Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Interoperability endpoints

  • Direct secure messaging: oobafemi918305@direct.ochsner.org

Organizations & group practices 7

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 3

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1659804987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FROSTWOOD DR STE 2.200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18951 N MEMORIAL DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384217",
            "telephone_number": "281-540-8409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 Ridge Lake Blvd Ste 315",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381209401",
            "country_code": "US",
            "telephone_number": "832-488-0170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 River Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329553",
            "country_code": "US",
            "telephone_number": "601-376-2832",
            "fax_number": "601-376-1815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-988-5281",
            "fax_number": "601-974-6241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 Chadwick Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392043404",
            "country_code": "US",
            "telephone_number": "601-376-2832",
            "fax_number": "601-376-1815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBAFEMI",
        "first_name": "OLUSHOLA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "W3293",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "W3293",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "28897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.