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DR. OMOTAYO TEMITOPE FAWIBE MD
NPI 1851634554
Preventive Medicine - Occupational Medicine in Fort Wayne, IN

Active since April 01, 2013PECOS Enrolled
3978 NEW VISION DR, FORT WAYNE, IN 46845(260) 672-4680(260) 458-5836 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 24, 2023, Dec 6, 2022, Aug 2, 2022 and 3 more (6 updates tracked since 2018).

About Dr. Omotayo Temitope Fawibe Md NPPES

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

DR. OMOTAYO TEMITOPE FAWIBE MD (NPI 1851634554) is an individual occupational medicine provider in Fort Wayne, Indiana, licensed in Indiana (01076903A) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851634554
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameDR. OMOTAYO TEMITOPE FAWIBECredential: MD
Location Address3978 NEW VISION DRFort Wayne, IN 46845
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 672-4680
Fax(260) 458-5836
Sole ProprietorNo
Enumeration DateApril 1, 2013
Last NPPES UpdateJuly 24, 20236 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1851634554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
Licenses✔ Licensed in IN · 01076903A✔ Licensed in TX · S5894
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
3978 NEW VISION DR, Fort Wayne, IN 46845
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Omotayo Temitope Fawibe Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Omotayo Fawibe reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Current Care PA
860 mi
Urgent Care
5080 SPECTRUM DRIVE, SUITE 1200 WEST
Addison, TX 75001
  • Reassigned Medicare billing, Indiana enrollment
  • 50 clinicians in this Medicare group
NPI 1013194455 (972) 364-8000
Next Level Mv LLC
961 mi
Urgent Care
7710 GARTH ROAD, STE A
Baytown, TX 77521
  • Reassigned Medicare billing, Texas enrollment
  • 301 clinicians in this Medicare group
NPI 1073168746 (281) 783-8162
Nluc PLLC Dba Next Level Urgent Care
977 mi
Urgent Care
8100 HIGHWAY 6 N STE E
Houston, TX 77095
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Nluc PLLC
  • 379 clinicians in this Medicare group
NPI 1316381114 (281) 201-0657

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 46845 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
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 11

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

MR. TODD MICHAEL SULLIVAN MPT
Physical Therapist
3978 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 373-9318
DR. GERRY S EASTERDAY MD
Emergency Medicine
3978 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 672-4680
MEGHAN WARRIX NP-C
Nurse Practitioner (Family)
3978 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 672-4680
MARGARET BERGHOFF MSN, RN, NP-C
Nurse Practitioner (Family)
3978 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 413-5629
MS. ALYSSA RENEE HARTMAN
Nurse Practitioner
3978 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 672-4680
MARY C HOSTETTER DPT
Physical Therapist
3978 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 373-9318
STEPHANIE L TRICE FNP
Nurse Practitioner
3978 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 672-4680
MRS. LAURI ANN MEIER NP-C
Nurse Practitioner
3978 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 672-4680

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 Omotayo Fawibe's NPI number?

The NPI number for Omotayo Fawibe is 1851634554. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Omotayo Fawibe located?

Omotayo Fawibe practices at 3978 New Vision Dr, Fort Wayne, IN 46845. The listed phone number is (260) 672-4680.

What is Omotayo Fawibe's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Omotayo Fawibe enrolled in Medicare?

Yes. Omotayo Fawibe is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Omotayo Fawibe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omotayo Fawibe reassigns Medicare benefits to 3 organizations: American Current Care PA (Addison, TX), Next Level Mv LLC (Baytown, TX) and Nluc PLLC Dba Next Level Urgent Care (Houston, TX). 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 Omotayo Fawibe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omotayo Fawibe accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource, CareSource (Common Ground Healthcare) and Oscar Insurance Company list Omotayo Fawibe 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 Omotayo Fawibe was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.