Individual provider Active NPI

David Olugbenga Biobaku, M.D.

  • Hospitalist Physician
  • Easley, SC
National Provider Identifier
1821409855
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
89474 Issued in SC
Practice address
200 Fleetwood Dr
Easley, SC 29640-2022
Phone
(864) 442-7200
Fax
(864) 442-8279
NPI assigned
May 13, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50637 KY
Internal Medicine Physician 207R00000X MD463073 PA
Internal Medicine Physician 207R00000X 334236 LA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD463073 PA
Hospitalist Physician 208M00000X MD463073 PA
Hospitalist Physician 208M00000X 89474 SC Primary

Addresses

Primary practice location

200 Fleetwood Dr
Easley, SC 29640-2022

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

Other practice location 2

585 Schenectady Ave
Department of Medicine
Brooklyn, NY 11203-1851
Phone (718) 363-6771

Other practice location 3

615 N Michigan St
South Bend, IN 46601-1033
Phone (574) 647-3050

Other practice location 4

501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-4000

Other practice location 5

112 N 7th St
Chambersburg, PA 17201-1720
Phone (717) 217-4300

Other identifiers 3

IdentifierTypeStateIssuer
0244324MedicaidOH
PENDINGMedicaidSC
7100512680MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, PA, CA, AZ, LA, SC, TX7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20171006003041 KY Practitioner - Internal Medicine 4486929072 Reassigns benefits to 1 organization
I20181212002965 PA Practitioner - HospitalistPractitioner - Geriatric Medicine 4486929072 Reassigns benefits to 2 organizations
I20190131003415 CA Practitioner - Internal Medicine 4486929072 Reassigns benefits to 1 organization
I20221123000243 AZ Practitioner - Hospitalist 4486929072
I20230210001476 LA Practitioner - Internal Medicine 4486929072 Reassigns benefits to 1 organization
I20230501000382 SC Practitioner - Internal Medicine 4486929072 Reassigns benefits to 1 organization
I20250726000148 TX Practitioner - Internal Medicine 4486929072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Geriatric Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Belle Chasse Physician Services LLCGroup PAC ID 9335379379, 258 clinicians
Kings Daughters Medical Specialties IncGroup PAC ID 6103968029, 397 clinicians

Practice addresses (Care Compare)

112 N 7TH St
Chambersburg, PA 17201-1720
Phone (717) 267-7771

180 W Esplanade Ave
Kenner, LA 70065-2467
Phone (504) 468-8600

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

Hospital & facility affiliations

  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
  • Ochsner Medical Center-Kenner Hospital, Kenner, LA, CCN 190274

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD463073PAMDHospitalist Physician
89474SCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc Current Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Aug 25, 2025 Accepting new patients
County of Santa Clara CurrentSince Mar 4, 2022 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jan 8, 2019 Accepting new patients
App of Southern Arizona HM LLC Hospitalist CurrentSince Nov 10, 2022 Accepting new patients
County of Santa Clara Current Accepting new patients
Seton Family of Doctors CurrentSince Jun 1, 2025 Accepting new patients
Prisma Health University Medical Group Internal Medicine Current Accepting new patients
Excela Health Physician Practices, Inc. Internal Medicine CurrentSince Jan 8, 2019 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Dec 20, 2021 Accepting new patients
Seton Family of Doctors Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Prisma Health University Medical Group CurrentSince May 8, 2023 Accepting new patients
County of Santa Clara CurrentSince Mar 4, 2022 Accepting new patients
Prisma Health University Medical Group Internal Medicine CurrentSince May 8, 2023 Accepting new patients
Kings Daughters Medical Specialties Inc Internal Medicine Current Accepting new patients
Seton Family of Doctors Internal Medicine Current Accepting new patients
Wellspan Medical Group CurrentSince Aug 25, 2025 Accepting new patients
Belle Chasse Physician Services LLC Hospitalist CurrentSince Dec 18, 2022 Accepting new patients
County of Santa Clara Internal Medicine Past Accepting new patients
Oconee Medical Center Past Accepting new patients
Ashland Hospital Corporation Past Accepting new patients
Ochsner Medical Center - Kenner, L.L.C. Past Accepting new patients
Laurens County Health Care System Past Accepting new patients
Greenville Health System Past Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

1600 S George St
York, PA 17403
Phone (717) 848-3615

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

Interoperability endpoints

  • Direct secure messaging: dbiobaku65201@direct.kdhealth.us
  • Direct secure messaging: dbiobaku471212@direct.llu.edu
  • Direct secure messaging: dbiobaku183068@ahs.direct-ci.com

Organizations & group practices 25

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 25

Hospital & facility affiliations 6

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1821409855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FLEETWOOD DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402022",
            "telephone_number": "864-442-7200",
            "fax_number": "864-442-8279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411012843",
            "country_code": "US",
            "telephone_number": "606-408-4000",
            "fax_number": "606-408-6825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "585 Schenectady Ave",
            "address_2": "DEPARTMENT OF MEDICINE",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112031851",
            "country_code": "US",
            "telephone_number": "718-363-6771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 N Michigan St",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011033",
            "country_code": "US",
            "telephone_number": "574-647-3050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-765-4000",
            "fax_number": "717-765-3669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011720",
            "country_code": "US",
            "telephone_number": "717-217-4300",
            "fax_number": "717-217-4217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIOBAKU",
        "first_name": "DAVID",
        "middle_name": "OLUGBENGA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-13",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "50637",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD463073",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "334236",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD463073",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD463073",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "89474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0244324",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100512680",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.