Active NPI
Olayiwola C Olagbegi, M.D.
- Gastroenterology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 114046
- Practice address
- 11155 Dunn Rd Ste 309E
Saint Louis, MO 63136-6111 - Phone
- (314) 953-8799
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036099505 | IL | |
| Gastroenterology Physician | 207RG0100X | 114046 | MO | Primary |
Addresses
Primary practice location
11155 Dunn Rd Ste 309E
Saint Louis, MO 63136-6111
Mailing address
11155 Dunn Rd Ste 309E
Saint Louis, MO 63136-6111
Phone (314) 953-8799
Other practice location 1
2122 Troy Rd Ste 130
Edwardsville, IL 62025-2540
Phone (618) 692-9876
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100011347 | Other | MO | MEDICARE RAILROAD |
| 209698901 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 653-5643
11155 Dunn Rd
Suite 109N
Saint Louis, MO 63136-6148
Phone (314) 953-8799
24 S Mt Auburn Rd
Cape Pulmonology and Sleep Medicine
Cape Girardeau, MO 63703-4914
Phone (573) 331-5544
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 82 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 96 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Medical Center | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Southeast Missouri Hospital Physicians, LLC | Gastroenterology | Current | Accepting new patients |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Lifeco Medical, P.C. | Past | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
2122 Troy Rd
Ste 130
Edwardsville, IL 62025
Phone (618) 692-9876
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
24 S Mount Auburn Rd
Cpe Girardeau, MO 63703
Phone (573) 331-5544
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
11155 Dunn Rd
Ste 309E
Saint Louis, MO 63136
Phone (314) 741-9010
670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 953-8250
11155 Dunn Rd
Ste 109N
Saint Louis, MO 63136
Phone (314) 837-3784
Interoperability endpoints
- oolagbegi101274@surescripts.sfmc.net
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Christian Hospital Northeast Northwest | Hospital | Corporate Director Operational/Managerial Control |
Jan 1, 2026 Jan 1, 2026 |
| Christian Hospital | Hospital | Corporate Director Operational/Managerial Control |
Jan 1, 2026 Jan 1, 2026 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rehabilitation Hospital Unit
- Saint Louis, MO
- NPI 1538177423
Corporate Director, Operational/Managerial Control
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
Corporate Director, Operational/Managerial Control
-
- Ambulance
- Saint Louis, MO
- NPI 1073769329
Corporate Director, Operational/Managerial Control
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1356304489
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
Gastroenterology
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
-
- Clinic/Center
- Jackson, MO
- NPI 1992502975
-
- Emergency Medicine Physician
- Forest Hills, NY
- NPI 1922031905
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
- General Acute Care Hospital
- Alton, IL
- NPI 1548278476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1912011255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11155 DUNN RD STE 309E",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366111",
"telephone_number": "314-953-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11155 DUNN RD STE 309E",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366111",
"telephone_number": "314-953-8799"
}
],
"practiceLocations": [
{
"address_1": "2122 Troy Rd Ste 130",
"address_purpose": "LOCATION",
"city": "Edwardsville",
"state": "IL",
"postal_code": "620252540",
"country_code": "US",
"telephone_number": "618-692-9876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLAGBEGI",
"first_name": "OLAYIWOLA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036099505",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "114046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "100011347",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209698901",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11155 Dunn Rd Ste 309E",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631366111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.