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MR. RICHARD FAGBEMIGUN M.D.
NPI 1679359129
Student in an Organized Health Care Education/Training Program in Greenwich, CT

Active since August 31, 2023PECOS Enrolled
5 PERRYRIDGE ROAD, GREENWICH, CT 06830(203) 863-3409(203) 863-3446 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2025, Jul 11, 2024, Aug 31, 2023 (3 updates tracked since 2023).

About Mr. Richard Fagbemigun M.d. NPPES

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

MR. RICHARD FAGBEMIGUN M.D. (NPI 1679359129) is an individual student in an organized health care education/training program in Greenwich, Connecticut and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1679359129
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. RICHARD FAGBEMIGUNCredential: M.D.
Location Address5 PERRYRIDGE ROADGreenwich, CT 06830
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-2704 · Fax (410) 500-4266
Phone(203) 863-3409
Fax(203) 863-3446
Sole ProprietorNo
Enumeration DateAugust 31, 2023
Last NPPES UpdateMay 29, 20253 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1679359129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5 PERRYRIDGE ROAD, Greenwich, CT 06830
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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037 · Fax (410) 955-0737

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Richard Fagbemigun M.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.

Other Providers at the Same Location NPPES 11

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

MRS. CHERYL DENISE WILLIAMS MS, RD
Dietitian, Registered
5 PERRYRIDGE ROAD
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 863-3000
DR. KYRA MARIE BECKMAN MD
Student in an Organized Health Care Education/Training Program
5 PERRYRIDGE ROAD
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 863-3409
ANNE T AMBROSIO LCSW
Social Worker
5 PERRYRIDGE ROAD, GREENWICH HOSPITAL OPC
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 863-3316
DR. JAMES RICHARD PALLETT MB CHB
Internal Medicine
5 PERRYRIDGE ROAD, GREENWICH HOSPITAL, CARA GIACOMO, PROGRAM ADMINISTRATOR
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 863-3911
EUNNA CHO DO
Hospitalist
5 PERRYRIDGE ROAD
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 863-3972
MRS. BETTY JANE LEWIS LCSW
Social Worker
5 PERRYRIDGE ROAD, GREENWICH HOSPITAL OUTPATIENT BEHAVIORAL HEALTH
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 863-3316
DR. MODESTUS LEE MD
Pediatrics
5 PERRYRIDGE ROAD, GREENWICH HOSPITAL NICU
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 863-3542
MRS. ROBERTA LOUISE BROWN BRUGO R.N., L.M.T.,HTCP
Registered Nurse
5 PERRYRIDGE ROAD, GREENWICH HOSPITAL
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 863-3615

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 Richard Fagbemigun's NPI number?

The NPI number for Richard Fagbemigun is 1679359129. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Where is Richard Fagbemigun located?

Richard Fagbemigun practices at 5 Perryridge Road, Greenwich, CT 06830. The listed phone number is (203) 863-3409.

What is Richard Fagbemigun's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Richard Fagbemigun enrolled in Medicare?

Yes. Richard Fagbemigun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Fagbemigun was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.