Individual provider Active NPI

Olayiwola C Olagbegi, M.D.

  • Gastroenterology Physician
  • Saint Louis, MO
National Provider Identifier
1912011255
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
114046 Issued in MO
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

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100011347OtherMOMEDICARE RAILROAD
209698901MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
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, IL2 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
I20101008000332 MO Practitioner - Gastroenterology 1355347741 Reassigns benefits to 3 organizations
I20130731000366 IL Practitioner - Gastroenterology 1355347741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Heights Medical Group SCGroup PAC ID 6800784083, 448 clinicians
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

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

ProcedureNumber of procedures
Colonoscopy82
Upper gastrointestinal (GI) endoscopy for acid reflux96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center Current Accepting new patients
Saint Francis Medical Center CurrentSince Sep 9, 2022 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Gastroenterology CurrentSince Oct 30, 2013 Accepting new patients
Saint Francis Medical Center CurrentSince Sep 9, 2022 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Jan 1, 2013 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Christian Hospital Northeast NorthwestSaint Louis, MO, CCN 260180 Hospital Corporate Director
Operational/Managerial Control
Jan 1, 2026
Jan 1, 2026
Christian HospitalSaint Louis, MO, CCN 26T180 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.

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.

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": "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

Verify at the official NPI Registry.