OMOTAYO T. FAWIBE MD – NPI #1851634554
Preventive Medicine

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.

OMOTAYO FAWIBE is a physician located in FORT WAYNE, IN. NPPES has assigned the NPI number 1851634554 to OMOTAYO FAWIBE on April 01, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2083X0100X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Occupational Medicine

The NPI profile was previously updated about 3 years ago on Jul 24, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OMOTAYO FAWIBE below.

NPI Profile for
OMOTAYO T. FAWIBE

NPI Number
1851634554
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
OMOTAYO T. FAWIBE
Credentials
MD
Primary location
3978 NEW VISION DR
FORT WAYNE, IN 46845
Phone: (260) 672-4680 Fax: (260) 458-5836
2 Other location(s):
3005 E State Blvd
Fort Wayne, IN 46805-4736
Phone: (260) 267-9498
3978 New Vision Dr
Fort Wayne, IN 46845
Phone: (260) 373-9300
Mailing address
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 24, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083X0100X
- Preventive Medicine / Occupational Medicine (Primary)
TX S5894

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.