OLUFOLAJIMI OLUROTIMI OLUYE OBEMBE M.D.
NPI 1164630117
Radiology - Diagnostic Radiology in New York, NY
About Olufolajimi Olurotimi Oluye Obembe M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLUFOLAJIMI OLUROTIMI OLUYE OBEMBE M.D. (NPI 1164630117) is an individual diagnostic radiology provider in New York, New York, licensed in California (C158170) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Ed Fraser Memorial Hospital, and maintains 15 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 15
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Olufolajimi Olurotimi Oluye Obembe M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
104Medicare enrollment records show Olufolajimi Obembe reassigns Medicare billing to 104 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bayonne, NJ 07002
- Reassigned Medicare billing, New Jersey enrollment
- 637 clinicians in this Medicare group
Belleville, NJ 07109
- Reassigned Medicare billing, New Jersey enrollment
- 58 clinicians in this Medicare group
Paramus, NJ 07652
- Reassigned Medicare billing, Kansas enrollment
Trenton, NJ 08638
- Reassigned Medicare billing, New Jersey enrollment
- 600 clinicians in this Medicare group
Glassboro, NJ 08028
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Inspira Health Network Medical Group PC
- 258 clinicians in this Medicare group
Newport News, VA 23601
- Reassigned Medicare billing, Kansas enrollment
Charlottesville, VA 22911
- Reassigned Medicare billing, Kansas enrollment
Warren, OH 44483
- Reassigned Medicare billing, Ohio enrollment
- 54 clinicians in this Medicare group
Hinton, WV 25951
- Reassigned Medicare billing, Kansas and Kentucky enrollments
- 3 clinicians in this Medicare group
Port Huron, MI 48060
- Reassigned Medicare billing, Kansas enrollment
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 53
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ed Fraser Memorial Hospital
Acute Care Hospitals · Macclenny, FLBay Area Hospital
Acute Care Hospitals · Coos Bay, ORMemorial Hospital
Acute Care Hospitals · Gonzales, TXYoakum Community Hospital
Critical Access Hospitals · Yoakum, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Olufolajimi Obembe's NPI number?
The NPI number for Olufolajimi Obembe is 1164630117. It was assigned to this individual provider in the NPPES registry on May 21, 2007.
Where is Olufolajimi Obembe located?
Olufolajimi Obembe practices at 79 Madison Ave, New York, NY 10016. The listed phone number is (856) 242-7343.
What is Olufolajimi Obembe's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Olufolajimi Obembe enrolled in Medicare?
Yes. Olufolajimi Obembe is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Olufolajimi Obembe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olufolajimi Obembe reassigns Medicare benefits to 104 organizations: Garden State Healthcare Associates, LLC (Bayonne, NJ), Contemporary Diagnostic Imaging, LLC (Belleville, NJ), Valley Physician Services PC (Paramus, NJ), Capital Health Multispecialty Group (Trenton, NJ), Inspira Health Network Medical Group, P.C. (Glassboro, NJ) and 99 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 Olufolajimi Obembe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Olufolajimi Obembe accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Ambetter from Sunflower Health Plan and 23 other insurers list Olufolajimi Obembe 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.
Is Olufolajimi Obembe affiliated with any hospitals?
According to CMS data, Olufolajimi Obembe is affiliated with Ed Fraser Memorial Hospital, Bay Area Hospital, Memorial Hospital and Yoakum Community Hospital.
When was this NPI record last updated?
The NPPES record for Olufolajimi Obembe was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.
# Olufolajimi Olurotimi Oluye Obembe, M.D. · NPI 1164630117
Diagnostic Radiology physician in New York, New York. Individual provider, active in the CMS NPPES registry since May 21, 2007.
## Identity
- **NPI:** 1164630117 (Entity type: Individual)
- **Enumerated:** May 21, 2007
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** C158170 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 79 MADISON AVE, New York, NY 10016-7802
- **Phone:** (856) 242-7343
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 104 organizations under Medicare reassignment (form CMS-855R): Garden State Healthcare Associates, LLC (NPI 1700014545, Bayonne, NJ); Contemporary Diagnostic Imaging, LLC (NPI 1306267927, Belleville, NJ); Valley Physician Services PC (NPI 1467815928, Paramus, NJ); Capital Health Multispecialty Group (NPI 1083072342, Trenton, NJ); Inspira Health Network Medical Group, P.C. (NPI 1922177856, Glassboro, NJ); and 99 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Duke University School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** September 11, 2026
- **Other identifiers:** Medicaid 431219 (AZ); Other P00812940 (AZ); Medicaid 200656640B (KS); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1164630117) · Data from the CMS NPPES public registry.