OLUWAFUNMISO IBUNKUN FAGBONGBE MD
NPI 1255968301
Radiology - Diagnostic Radiology in Mobile, AL

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
2451 UNIVERSITY HOSPITAL DR, MOBILE, AL 36617(251) 472-7207 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 10, 2024, Mar 26, 2020 (2 updates tracked since 2020).

About Oluwafunmiso Ibunkun Fagbongbe Md NPPES

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

OLUWAFUNMISO IBUNKUN FAGBONGBE MD (NPI 1255968301) is an individual diagnostic radiology provider in Mobile, Alabama, licensed in Texas (T9103) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Baylor College Of Medicine (2020).

NPPES Registry Identity

NPI1255968301
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameOLUWAFUNMISO IBUNKUN FAGBONGBECredential: MD
Location Address2451 UNIVERSITY HOSPITAL DRMobile, AL 36617-2300
Mailing Address2451 University Hospital Dr Rm 714Mobile, AL 36617-2300 · (251) 471-7207 · Fax (251) 471-7468
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
✔ NPI 1255968301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in TX · T9103✔ Licensed in AL · 50792
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2451 UNIVERSITY HOSPITAL DR, Mobile, AL 36617

Secondary Practice Location 1

Location 1619 19th St SBirmingham, AL 35233-1900 · Phone (205) 934-4011

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

Oluwafunmiso Ibunkun Fagbongbe Md 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 ID648698407
PECOS Enrollment IDI20250502001654
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

7

Medicare enrollment records show Oluwafunmiso Fagbongbe reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Medical Laboratory
720 20TH ST S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
Physiological Laboratory
7191 CAHABA VALLEY RD STE 104
Birmingham, AL 35242
  • Reassigned Medicare billing, Alabama enrollment
  • Also billed through NPI 1033646823 (Alabama)
  • 53 clinicians in this Medicare group
Clinic/Center
1509 6TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 203 clinicians in this Medicare group
Diagnostic Radiology
810 SAINT VINCENTS DR
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • Medicare enrollment name: Radiology Associates Of Birmingham, P.C.
  • 45 clinicians in this Medicare group
Radiology
9459 HIGHWAY 5 STE R
Douglasville, GA 30135
  • Reassigned Medicare billing, Georgia enrollment
  • 207 clinicians in this Medicare group
Radiology
60 PEACHTREE PARK DR NE
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 202 clinicians in this Medicare group
Diagnostic Radiology
3333 N FOSTER MALDONADO BLVD
Eagle Pass, TX 78852
  • Reassigned Medicare billing, Texas enrollment
  • 13 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36617 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617
Hospitalist
2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617
Nurse Practitioner (Family)
2451 UNIVERSITY HOSPITAL DR, MSTN 101
MOBILE, AL 36617
Emergency Medicine
2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617
Nurse Practitioner (Acute Care)
2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617
Registered Nurse
2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617
Student in an Organized Health Care Education/Training Program
2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617
Pharmacist
2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617

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 Oluwafunmiso Fagbongbe's NPI number?

The NPI number for Oluwafunmiso Fagbongbe is 1255968301. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Oluwafunmiso Fagbongbe located?

Oluwafunmiso Fagbongbe practices at 2451 University Hospital Dr, Mobile, AL 36617. The listed phone number is (251) 472-7207.

What is Oluwafunmiso Fagbongbe's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Oluwafunmiso Fagbongbe enrolled in Medicare?

Yes. Oluwafunmiso Fagbongbe 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 Oluwafunmiso Fagbongbe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oluwafunmiso Fagbongbe reassigns Medicare benefits to 7 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL), St Vincents Ambulatory Healthcare Network LLC (Birmingham, AL), Cooper Green Mercy Health Services Authority An Affiliate Of Uab (Birmingham, AL), Radiology Associates Of Birmingham PC (Birmingham, AL), Synergy Radiology, LLC (Douglasville, GA) and 2 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 Oluwafunmiso Fagbongbe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Oluwafunmiso Fagbongbe accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Oluwafunmiso Fagbongbe 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 Oluwafunmiso Fagbongbe was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.