Eniola O Fagbongbe, M.D, MBA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

00023921 Issued in AL

Practice address

200 1St St SW
Rochester, MN 55905-0001

Phone

(507) 284-2511

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL, MS2 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

Specialty

Obstetrics/Gynecology

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Obhg Mississippi PCGroup PAC ID 7416120407, 29 clinicians

Rush Hospital/Butler, IncGroup PAC ID 0244498368, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Choctaw General Hospital, Butler, AL, CCN 011304
• Atmore Community Hospital Hospital, Atmore, AL, CCN 010169

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: efagbongbe13000@directinfirmaryhealth.org
• Direct secure messaging: efagbongbe1212447@ehrdirect.mayoclinicmsg.org

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.

• Obhg Mississippi, P.C.

  • Obstetrics & Gynecology Physician
  • Jackson, MS
  • NPI 1083995674

  MS, Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Rush Hospital/Butler, Inc

  • Critical Access Hospital
  • Butler, AL
  • NPI 1184993727

  AL

  Medicare reassignment Care Compare group NPD
• Rush Hospital/Butler, Inc

  • Emergency Medicine Physician
  • Butler, AL
  • NPI 1811268592

  AL

  Medicare reassignment Care Compare group
• Anderson Physician Alliance, Inc.

  • Multi-Specialty Clinic/Center
  • Meridian, MS
  • NPI 1760798227

  MS

  Medicare reassignment NPD
• Anderson Regional Medical Center

  • Specialist
  • Meridian, MS
  • NPI 1043764699

  MS

  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  AL

  Medicare reassignment NPD
• Emergency Staffing Solutions Inc

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1477590974

  AL

  Medicare reassignment NPD
• Imc-Hospitalists LLC

  • Hospitalist Physician
  • Mobile, AL
  • NPI 1669824934

  AL

  Medicare reassignment NPD
• J. Paul Jones Hospital

  • General Acute Care Hospital
  • Camden, AL
  • NPI 1477520526

  AL

  Medicare reassignment NPD
• Newgen Alabama Billing LLC

  • Emergency Medicine Physician
  • Ozark, AL
  • NPI 1013744424

  AL

  Medicare reassignment NPD
• WH Services Atmore LLC

  • Emergency Medicine Physician
  • Atmore, AL
  • NPI 1972375574

  AL

  Medicare reassignment NPD
• WH Services Brewton LLC

  • Emergency Medicine Physician
  • Brewton, AL
  • NPI 1194408005

  AL

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Escambia County Alabama Community Hospitals, Inc

  • Rural Acute Care Hospital
  • Atmore, AL
  • NPI 1124073879

  Hospital

  Care Compare affiliation
• Rush Hospital/Butler, Inc

  • Critical Access Hospital
  • Butler, AL
  • NPI 1184993727

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1790737807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAGBONGBE",
        "first_name": "ENIOLA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "29142",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "00023921",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "66741",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540091003",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsie Althea Fabian, NP
• Claire Leone Fabian, SLP CFY
• Priyal Praful Fadadu, MD
• Hind J Fadel, M.D.
• Walaa Fadelsied
• Loni Fagel
• Robert J Fagnant, MD
• Lara Fahmy Abdou Gad Alla, MD
• Vahe Fahradyan, MD
• Jessica Mae Fahrendholz, APRN

• All providers in Rochester, MN
• Obstetrics & Gynecology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.

Verify at the official NPI Registry.