Individual provider

Olufolajimi Obembe, M.D.

Diagnostic Radiology Physician Medicare enrolled

Olufolajimi Obembe, M.D. is a Diagnostic Radiology Physician in New York, NY, registered under NPI 1164630117. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 79 MADISON AVE, New York, NY 10016. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

79 MADISON AVE, New York, NY 10016 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
C158170 CA Diagnostic Radiology Physician primary
MED-PHYS-LIC-121183 MT Diagnostic Radiology Physician
322316 LA Diagnostic Radiology Physician
MD207467 OR Diagnostic Radiology Physician
U2278 TX Diagnostic Radiology Physician
04-34422 KS Diagnostic Radiology Physician
ME167917 FL Diagnostic Radiology Physician
14213721-1205 UT Diagnostic Radiology Physician
DR.0065320 CO Diagnostic Radiology Physician

Licences are recorded in 9 states: CA, MT, LA, OR, TX, KS, FL, UT, CO. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Diagnostic Radiology
PAC ID
7315097367

Enrolled in Medicare 22 times, across 22 states:

StateEnrollment IDProvider type
Arizona I20090612000112 Practitioner - Diagnostic Radiology
Kansas I20100702000339 Practitioner - Diagnostic Radiology
Missouri I20170824001487 Practitioner - Diagnostic Radiology
California I20190123001359 Practitioner - Diagnostic Radiology
Hawaii I20200206001840 Practitioner - Diagnostic Radiology
Louisiana I20210316002097 Practitioner - Diagnostic Radiology
Kentucky I20210830002937 Practitioner - Diagnostic Radiology
Nevada I20230202003044 Practitioner - Diagnostic Radiology
Arkansas I20230322001847 Practitioner - Diagnostic Radiology
Indiana I20230322002907 Practitioner - Diagnostic Radiology
Oregon I20230530002520 Practitioner - Diagnostic Radiology
New Jersey I20240122000036 Practitioner - Diagnostic Radiology
Florida I20240712002405 Practitioner - Diagnostic Radiology
Texas I20240912001270 Practitioner - Diagnostic Radiology
Colorado I20241230003093 Practitioner - Diagnostic Radiology
Montana I20250408003796 Practitioner - Diagnostic Radiology
Mississippi I20250409001205 Practitioner - Diagnostic Radiology
Alabama I20250410002464 Practitioner - Diagnostic Radiology
Utah I20250716001921 Practitioner - Diagnostic Radiology
Ohio I20251205000809 Practitioner - Diagnostic Radiology
Georgia I20251217004650 Practitioner - Diagnostic Radiology
Michigan I20260224001850 Practitioner - Diagnostic Radiology

Medicare enrolment is recorded as approved under the provider type Practitioner - Diagnostic Radiology. There are 22 separate enrolment records across 22 states (AZ, KS, MO, CA, HI, LA, KY, NV, AR, IN, OR, NJ, FL, TX, CO, MT, MS, AL, UT, OH, GA, MI). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 9 states

This provider holds licences in 9 states: California, Colorado, Florida, Kansas, Louisiana, Montana, Oregon, Texas and Utah. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California
Licence
C158170
Specialty
Diagnostic Radiology Physician
Verify with the CA board →
CO Colorado
Licence
DR.0065320
Specialty
Diagnostic Radiology Physician
Verify with the CO board →
FL Florida
Licence
ME167917
Specialty
Diagnostic Radiology Physician
Verify with the FL board →
KS Kansas
Licence
04-34422
Specialty
Diagnostic Radiology Physician
Verify with the KS board →
LA Louisiana
Licence
322316
Specialty
Diagnostic Radiology Physician
Verify with the LA board →
MT Montana
Licence
MED-PHYS-LIC-121183
Specialty
Diagnostic Radiology Physician
Verify with the MT board →
OR Oregon
Licence
MD207467
Specialty
Diagnostic Radiology Physician
Verify with the OR board →
TX Texas
Licence
U2278
Specialty
Diagnostic Radiology Physician
Verify with the TX board →
UT Utah
Licence
14213721-1205
Specialty
Diagnostic Radiology Physician
Verify with the UT board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Diagnostic Radiology covers

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCC Health Care Provider Taxonomy, code 2085R0202X
Allopathic & Osteopathic Physicians Radiology Diagnostic Radiology

All registered taxonomy codes

This provider registers 9 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology C158170 CA primary
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology MED-PHYS-LIC-121183 MT
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 322316 LA
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology MD207467 OR
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology U2278 TX
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 04-34422 KS
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology ME167917 FL
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 14213721-1205 UT
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology DR.0065320 CO

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164630117 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 21, 2007
Last updatedMay 14, 2026
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 79 MADISON AVE
New York, NY 10016
(856) 242-7343
Mailing address 2801 ATLANTIC AVE
Long Beach, CA 90806
Other identifiers P00812940 · Other (AZ)
431219 · Medicaid (AZ)
200656640B · Medicaid (KS)
This record was updated on May 14, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1164630117 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 6 3 0 1 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 3 3 0 1 2

Sum = 43 · next multiple of 10 = 50 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164630117?
NPI 1164630117 is the National Provider Identifier assigned to Olufolajimi Obembe, M.D. in New York, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Diagnostic Radiology cover?
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
How do I contact Olufolajimi Obembe, M.D.?
The phone number on file with NPPES is (856) 242-7343, last updated May 14, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Olufolajimi Obembe, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164630117 a valid number?
Yes. 1164630117 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.