Individual provider

Omotayo Fasan, MBBS

Hematology (Internal Medicine) Physician Internal Medicine Physician

Omotayo Fasan, MBBS is a Hematology (Internal Medicine) Physician in Charlotte, NC, registered under NPI 1386804409. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 125 QUEENS RD STE 600, Charlotte, NC 28204. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

125 QUEENS RD STE 600, Charlotte, NC 28204 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2013-01292 NC Hematology (Internal Medicine) Physician primary
2013-01292 NC Internal Medicine Physician
MD433151 PA Internal Medicine Physician
MT183411 PA Internal Medicine Physician
MD433151 PA Hematology (Internal Medicine) Physician
MT183411 PA Hematology (Internal Medicine) Physician

Licences are recorded in 2 states: NC, PA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: North Carolina and Pennsylvania. The practice address on file is in Charlotte, NC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NC North Carolina practice address
Licence
2013-01292
Specialty
Hematology (Internal Medicine) Physician
Verify with the NC board →
PA Pennsylvania
Licence
MD433151
Specialty
Internal Medicine Physician
Verify with the PA 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 Hematology covers

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. NUCC Health Care Provider Taxonomy, code 207RH0000X
Allopathic & Osteopathic Physicians Internal Medicine Hematology

All registered taxonomy codes

This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RH0000X Hematology (Internal Medicine) Physician Hematology 2013-01292 NC primary
207R00000X Internal Medicine Physician 2013-01292 NC
207R00000X Internal Medicine Physician MD433151 PA
207R00000X Internal Medicine Physician MT183411 PA
207RH0000X Hematology (Internal Medicine) Physician Hematology MD433151 PA
207RH0000X Hematology (Internal Medicine) Physician Hematology MT183411 PA

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.

NPI1386804409 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 12, 2008
Last updatedNov 18, 2020
StatusActive
Sole proprietorNo
CredentialMBBS
Practice address 125 QUEENS RD STE 600
Charlotte, NC 28204
(980) 302-6600
Fax (980) 302-6605
Mailing address PO BOX 60447
Charlotte, NC 28260
Other identifiers NC1838 (SC)
1386804409 (NC)
The last update on file is Nov 18, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1386804409 passes the NPI check digit test The final digit 9 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 3 8 6 8 0 4 4 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 7 6 7 0 8 4 0

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

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 1386804409?
NPI 1386804409 is the National Provider Identifier assigned to Omotayo Fasan, MBBS in Charlotte, NC. 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 Hematology cover?
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
How do I contact Omotayo Fasan, MBBS?
The phone number on file with NPPES is (980) 302-6600, last updated Nov 18, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1386804409 a valid number?
Yes. 1386804409 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.