ADEBISI MARY FAGBOHUN MD
NPI 1366040065
Family Medicine in Richmond, IN
About Adebisi Mary Fagbohun Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADEBISI MARY FAGBOHUN MD (NPI 1366040065) is an individual family medicine provider in Richmond, Indiana, licensed in Indiana (01091276A) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Reid Health, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Adebisi Mary Fagbohun 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.
Medicare Billing Reassignment
Medicare enrollment records show Adebisi Fagbohun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, IN 47374
- Reassigned Medicare billing, Indiana enrollment
- 527 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 5
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Reid Health
Acute Care Hospitals · Richmond, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
RICHMOND, IN 47374
RICHMOND, IN 47374
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 Adebisi Fagbohun's NPI number?
The NPI number for Adebisi Fagbohun is 1366040065. It was assigned to this individual provider in the NPPES registry on October 14, 2020.
Where is Adebisi Fagbohun located?
Adebisi Fagbohun practices at 1100 Reid Pkwy, Richmond, IN 47374. The listed phone number is (765) 983-3000.
What is Adebisi Fagbohun's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Adebisi Fagbohun enrolled in Medicare?
Yes. Adebisi Fagbohun 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 organization bills Medicare for Adebisi Fagbohun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adebisi Fagbohun reassigns Medicare benefits to Reid Physician Associates, Inc. (Richmond, IN). The 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 Adebisi Fagbohun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adebisi Fagbohun accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Adebisi Fagbohun 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 Adebisi Fagbohun affiliated with any hospitals?
According to CMS data, Adebisi Fagbohun is affiliated with Reid Health.
When was this NPI record last updated?
The NPPES record for Adebisi Fagbohun was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Adebisi Mary Fagbohun, MD · NPI 1366040065
Family Medicine physician in Richmond, Indiana. Individual provider, active in the CMS NPPES registry since October 14, 2020.
## Identity
- **NPI:** 1366040065 (Entity type: Individual)
- **Enumerated:** October 14, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 01091276A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 REID PKWY, Richmond, IN 47374-1157
- **Phone:** (765) 983-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Reid Physician Associates, Inc. (NPI 1265689111, Richmond, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366040065) · Data from the CMS NPPES public registry.