DR. C FUNSHO FAGBOHUN M.D., PH.D.
NPI 1629016415
Obstetrics & Gynecology in Richmond, TX

Active since June 03, 2006PECOS EnrolledCLIA Certified · 2 labs
1601 LIBERTY ST, SUITE A, RICHMOND, TX 77469(281) 342-6962(281) 342-6963 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. C Funsho Fagbohun M.d., Ph.d. NPPES

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

DR. C FUNSHO FAGBOHUN M.D., PH.D. (NPI 1629016415) is an individual obstetrics & gynecology provider in Richmond, Texas, licensed in Texas (K3176) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds 2 active CLIA laboratory certificates, and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1629016415
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. C FUNSHO FAGBOHUNCredential: M.D., PH.D.
Location Address1601 LIBERTY ST, SUITE ARichmond, TX 77469-3252
Mailing Address1601 Liberty St, Suite ARichmond, TX 77469-3252 · (281) 342-6962 · Fax (281) 342-6963
Fax(281) 342-6963
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
NPI 1629016415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in TX · K3176
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1601 LIBERTY ST, Richmond, TX 77469

Secondary Practice Location 1

Location 1400 Austin StRichmond, TX 77469-4406 · Phone (281) 342-4530

Other Identifiers 1

Medicaid141965701TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. C Funsho Fagbohun M.d., Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0993637

C Funsho Fagbohun, MD, Phd, PA Center For Women's Health · Richmond, TX
Active · expires Nov 19, 2027
CLIA Number45D0993637
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorC Funsho Fagbohun
Laboratory Phone(281) 342-6962
Laboratory LocationC Funsho Fagbohun, MD, Phd, PA Center For Women's Health1601 Liberty Street, Suite A, Richmond, TX 77469
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 45D2114167

C Funsho Fagbohun MD Phd Pa/Center For Women's · Richmond, TX
Active · expires Jun 7, 2028
CLIA Number45D2114167
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorFunsho C. Fagbohun
Laboratory Phone(281) 342-6962
Laboratory LocationC Funsho Fagbohun MD Phd Pa/Center For Women's7790 West Grand Parkway South Suite 201, Richmond, TX 77406
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77469 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 4

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

Obstetrics & Gynecology
1601 LIBERTY ST
RICHMOND, TX 77469
Obstetrics & Gynecology
1601 LIBERTY ST
RICHMOND, TX 77469
Obstetrics & Gynecology
1601 LIBERTY ST, SUITE A
RICHMOND, TX 77469
Obstetrics & Gynecology
1601 LIBERTY ST, SUITE A
RICHMOND, TX 77469

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 C Funsho Fagbohun's NPI number?

The NPI number for C Funsho Fagbohun is 1629016415. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is C Funsho Fagbohun located?

C Funsho Fagbohun practices at 1601 Liberty St Suite A, Richmond, TX 77469. The listed phone number is (281) 342-6962.

What is C Funsho Fagbohun's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is C Funsho Fagbohun enrolled in Medicare?

Yes. C Funsho Fagbohun is registered in the Medicare PECOS enrollment system.

Does C Funsho Fagbohun hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does C Funsho Fagbohun accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list C Funsho 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.

When was this NPI record last updated?

The NPPES record for C Funsho Fagbohun was last updated on March 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.