Active NPI
Eniola Oladosu Fagbongbe, M.D.
- Diagnostic Radiology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- U6233
- Practice address
- 815 Pennsylvania Ave
Fort Worth, TX 76104-2224 - Phone
- (817) 321-0404
- NPI assigned
- Apr 22, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 57.028708 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | U6233 | TX | Primary |
| Surgery Physician | 208600000X | BP10052972 | TX |
Addresses
Primary practice location
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Mailing address
1320 S University Dr Ste 500
Fort Worth, TX 76107-5732
Phone (817) 321-0404
Other practice location 1
1 Baylor Plz Ste 404D
Houston, TX 77030-3411
Phone (713) 798-8629
Other practice location 2
1265 Union Ave, 7 Thomas Wing, Room 707
Memphis, TN 38104
Phone (901) 516-8675
Other practice location 3
1 Baylor Plz Ste 404D
Houston, TX 77030-3411
Phone (713) 798-8629
Other practice location 4
725 Welch Rd Rm 1890
Palo Alto, CA 94304-1601
Phone (510) 896-5507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Alabama School of Medicine, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
815 S Washington Ave
Suite 301
Marshall, TX 75670-5358
Phone (817) 321-0404
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.028708 | OH | MD | Diagnostic Radiology Physician |
| U6233 | TX | MD | Diagnostic Radiology Physician |
| BP10052972 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Texas Children'S Physician Group | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of North Texas PA | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Radiology Associates of North Texas, PA | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Clinical Care in Radiology | Past | Accepting new patients |
Locations
8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250
17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303
1320 S University Dr
Ste 500
Fort Worth, TX 76107
Phone (817) 321-0391
815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300
816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
815 S Washington Ave
Ste 301
Marshall, TX 75670
Phone (903) 934-5400
101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840
6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000
Organizations & group practices 33
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.
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Physiological Laboratory
- McKinney, TX
- NPI 1215359401
Diagnostic Radiology
-
- Physiological Laboratory
- Fort Worth, TX
- NPI 1548590524
Diagnostic Radiology
-
- Physiological Laboratory
- Fort Worth, TX
- NPI 1649753716
Diagnostic Radiology
-
- Physiological Laboratory
- Cleburne, TX
- NPI 1679994313
Diagnostic Radiology
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Fort Worth, TX
- NPI 1720059785
Hospital
-
- Children's Hospital
- Fort Worth, TX
- NPI 1891765178
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1174533343
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1417980202
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1396779948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1912394495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 S UNIVERSITY DR STE 500",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761075732",
"telephone_number": "817-321-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 PENNSYLVANIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042224",
"telephone_number": "817-321-0404"
}
],
"practiceLocations": [
{
"address_1": "1 Baylor Plz Ste 404D",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770303411",
"country_code": "US",
"telephone_number": "713-798-8629",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1265 Union Ave, 7 Thomas Wing, Room 707",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "38104",
"country_code": "US",
"telephone_number": "901-516-8675",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Baylor Plz Ste 404D",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770303411",
"country_code": "US",
"telephone_number": "713-798-8629",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 Welch Rd Rm 1890",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943041601",
"country_code": "US",
"telephone_number": "510-896-5507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAGBONGBE",
"first_name": "ENIOLA",
"middle_name": "OLADOSU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-22",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "57.028708",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "U6233",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "BP10052972",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.