MR. OLUMIDE SAMSON FAGBEMI NP
NPI 1013163765
Nurse Practitioner - Family in Calumet City, IL

Active since August 13, 2008PECOS EnrolledAccepts Medicare Assignment
1118 LUCAS ST, CALUMET CITY, IL 60409(708) 785-2238 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Olumide Samson Fagbemi Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. OLUMIDE SAMSON FAGBEMI NP (NPI 1013163765) is an individual family provider in Calumet City, Illinois, licensed in Illinois (209.022296) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013163765
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. OLUMIDE SAMSON FAGBEMICredential: NP
Location Address1118 LUCAS STCalumet City, IL 60409-2408
Mailing Address1118 Lucas StCalumet City, IL 60409-2408 · (708) 785-2238
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 13, 2008
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1013163765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.022296
1118 LUCAS ST, Calumet City, IL 60409

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Olumide Samson Fagbemi Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577972488
PECOS Enrollment IDI20210505002273, I20250903000397
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

9

Medicare enrollment records show Olumide Fagbemi reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
490 W 16TH PL
Chicago Heights, IL 60411
  • Reassigned Medicare billing, Illinois enrollment
  • 173 clinicians in this Medicare group
Nurse Practitioner
3000 N HALSTED ST STE 803
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois and Indiana enrollments
  • 34 clinicians in this Medicare group
Nurse Practitioner
3000 N HALSTED ST STE 803
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois and Indiana enrollments
  • 129 clinicians in this Medicare group
Internal Medicine
3450 OAKTON ST
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 491 clinicians in this Medicare group
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Illinois enrollment
  • 419 clinicians in this Medicare group
Nurse Practitioner
6700 ALEXANDER BELL DR STE 200
Columbia, MD 21046
  • Reassigned Medicare billing, Illinois enrollment
  • 37 clinicians in this Medicare group
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Illinois enrollment
  • 176 clinicians in this Medicare group
Nurse Practitioner
100 CROSSING BLVD
Framingham, MA 01702
  • Reassigned Medicare billing, Illinois enrollment
  • 46 clinicians in this Medicare group
Geriatric Medicine
100 CROSSING BLVD STE 300
Framingham, MA 01702
  • Reassigned Medicare billing, Illinois enrollment
  • 36 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
284 services73 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
261 services98 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
21 services17 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60409 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olumide Fagbemi's NPI number?

The NPI number for Olumide Fagbemi is 1013163765. It was assigned to this individual provider in the NPPES registry on August 13, 2008.

Where is Olumide Fagbemi located?

Olumide Fagbemi practices at 1118 Lucas St, Calumet City, IL 60409. The listed phone number is (708) 785-2238.

What is Olumide Fagbemi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Olumide Fagbemi enrolled in Medicare?

Yes. Olumide Fagbemi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Olumide Fagbemi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olumide Fagbemi reassigns Medicare benefits to 9 organizations: Altea Medical Illinois PLLC (Chicago Heights, IL), Midwest Post Acute Care Aco PLLC (Chicago, IL), Midwest Post Acute Care PLLC (Chicago, IL), Vitae Health Medical Illinois, PLLC (Skokie, IL), Sound Physicians Of Illinois, LLC (Bridgeton, MO) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olumide Fagbemi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olumide Fagbemi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and CareSource list Olumide Fagbemi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olumide Fagbemi was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.