Individual provider Active NPI

Eniola Oladosu Fagbongbe, M.D.

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1912394495
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
U6233 Issued in TX
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

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912001200 TX Practitioner - Diagnostic RadiologyPractitioner - General Surgery 4789976168 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
57.028708OHMDDiagnostic Radiology Physician
U6233TXMDDiagnostic Radiology Physician
BP10052972TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 22, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Aug 28, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 18, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Texas Children'S Physician Group CurrentSince Aug 24, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Aug 27, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners, LLC CurrentSince Aug 29, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 20, 2025 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 25, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Jun 17, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 12, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners, LLC CurrentSince Aug 27, 2025 Accepting new patients
Radiology Associates of North Texas, PA Diagnostic Radiology CurrentSince Jun 17, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners, LLC CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Aug 29, 2025 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.

View all 33

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.